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The value of telemo...
The value of telemonitoring and ICT-guided disease management in heart failure: Results from the IN TOUCH study
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- Kraai, Imke (författare)
- University of Groningen, Netherlands
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- de Vries, Arjen (författare)
- University of Groningen, Netherlands
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- Vermeulen, Karin (författare)
- University of Groningen, Netherlands
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- van Deursen, Vincent (författare)
- University of Groningen, Netherlands
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- van der Wal, Martje (författare)
- Linköpings universitet,Hälsa, Aktivitet, Vård (HAV),Medicinska fakulteten
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- de Jong, Richard (författare)
- Wilhelmina Hospital Assen, Netherlands
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- van Dijk, Rene (författare)
- Cavari Clin Groningen, Netherlands
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- Jaarsma, Tiny (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten
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- Hillege, Hans (författare)
- University of Groningen, Netherlands
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- Lesman, Ivonne (författare)
- University of Groningen, Netherlands
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(creator_code:org_t)
- ELSEVIER IRELAND LTD, 2016
- 2016
- Engelska.
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Ingår i: International Journal of Medical Informatics. - : ELSEVIER IRELAND LTD. - 1386-5056 .- 1872-8243. ; 85:1, s. 53-60
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https://doi.org/10.1...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Aim: It is still unclear whether telemonitoring reduces hospitalization and mortality in heart failure (HF) patients and whether adding an Information and Computing Technology-guided-disease-management-system (ICT-guided-DMS) improves clinical and patient reported outcomes or reduces healthcare costs. Methods: A multicenter randomized controlled trial was performed testing the effects of INnovative ICT-guided-DMS combined with Telemonitoring in OUtpatient clinics for Chronic HF patients (IN TOUCH) with in total 179 patients (mean age 69 years; 72% male; 77% in New York Heart Association Classification (NYHA) III-IV; mean left ventricular ejection fraction was 28%). Patients were randomized to ICT-guided-DMS or to ICT-guided-DMS + telemonitoring with a follow-up of nine months. The composite endpoint included mortality, HF-readmission and change in health-related quality of life (HR-QoL). Results: In total 177 patients were eligible for analyses. The mean score of the primary composite endpoint was -0.63 in ICT-guided-DMS vs. -0.73 in ICT-guided-DMS + telemonitoring (mean difference 0.1,95% CI: -0.67 +0.82, p = 0.39). All-cause mortality in ICT-guided-DMS was 12% versus 15% in ICT-guided-DMS + telemonitoring (p = 0.27); HF-readmission 28% vs. 27% p = 0.87; all-cause readmission was 49% vs. 51% (p = 0.78). HR-QoL improved in most patients and was equal in both groups. Incremental costs were 1360 in favor of ICT-guided-DMS. ICT-guided-DMS + telemonitoring had significantly fewer HF-outpatient-clinic visits (p < 0.01). Conclusion: ICT-guided-DMS + telemonitoring for the management of HF patients did not affect the primary and secondary endpoints. However, we did find a reduction in visits to the HF-outpatient clinic in this group suggesting that telemonitoring might be safe to use in reorganizing HF-care with relatively low costs. (C) 2015 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NC-ND license (http://cleativecommons.org/licenses/by-nc-nd/4.0/).
Ämnesord
- SAMHÄLLSVETENSKAP -- Sociologi (hsv//swe)
- SOCIAL SCIENCES -- Sociology (hsv//eng)
Nyckelord
- Heart failure; Disease management; Telemonitoring; ICT-guided disease management; Computer decision support
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Kraai, Imke
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de Vries, Arjen
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Vermeulen, Karin
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van Deursen, Vin ...
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van der Wal, Mar ...
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de Jong, Richard
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van Dijk, Rene
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Jaarsma, Tiny
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Hillege, Hans
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Lesman, Ivonne
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