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Comparative effects of telemedicine and face-to-face warfarin management: A systematic review and network meta-analysis.

Author: ChaiyakunaprukNathorn, DevineBeth, DhippayomTeerapon, DilokthornsakulPiyameth, JhunsomSuttita, RattanachaisitNatnicha

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

This study examined the comparative effects of different types of telemedicine on anticoagulation control and adverse outcomes in patients taking warfarin. A network meta-analysis of 12 studies involving 11,478 patients found that telemedicine interventions varied in their effects on different outcomes. Patient self-test with telephonic or web-based follow-up by automated management system (PST/Tel-Online/Auto) showed the most favorable effects on anticoagulation control, while laboratory draw with individual telephonic follow-up by healthcare providers (Lab/Tel/HC) was preferred to prevent major bleeding or thromboembolic events. More high-quality evidence is needed to confirm these findings.
Paper Details　
Original Abstract of the Article :
OBJECTIVE: To determine the comparative effects of different types of telemedicine on anticoagulation control and adverse outcomes in patients taking warfarin. DATA SOURCES: A systematic search was conducted in PubMed, the Cochrane library, EMBASE, CINAHL, OpenGrey, and DART-Europe from inception t...See full text at original site
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引用元：
https://doi.org/10.1016/j.japh.2020.06.010

データ提供：米国国立医学図書館（NLM）

Telemedicine: Bridging the Gap in Warfarin Management

Warfarin management can be a delicate balancing act, requiring careful monitoring and adjustments. This study explores the role of telemedicine in streamlining this process, and it's like finding a shortcut across the desert—improving efficiency and effectiveness. Researchers compared the effects of different telemedicine approaches on anticoagulation control and adverse outcomes in patients taking warfarin, analyzing data from randomized controlled trials, quasi-experimental, and cohort studies.

Telemedicine: A Technological Oasis for Warfarin Management

The results suggest that certain telemedicine approaches, such as patient self-testing with telephonic or web-based follow-up, can be more effective than traditional face-to-face care in achieving optimal anticoagulation control. This is like using a GPS system to navigate the desert—increasing precision and accuracy. While the quality of evidence is still uncertain, the study provides valuable insights into the potential of telemedicine in warfarin management.

Embracing Technology for Enhanced Care

This study emphasizes the importance of exploring innovative approaches to healthcare delivery, particularly for conditions like warfarin management that require close monitoring. Telemedicine offers a promising solution—making care more accessible and convenient for patients. It's like finding a well-stocked oasis in the middle of the desert—offering relief and respite.

Dr. Camel's Conclusion

Telemedicine holds significant potential for improving warfarin management, offering patients greater convenience and potentially better outcomes. However, further research is needed to confirm the long-term efficacy and safety of different telemedicine approaches. As researchers, we must embrace the changing landscape of healthcare, exploring innovative technologies to improve the lives of our patients. This study is a testament to the power of technology in transforming healthcare, bringing us closer to a more efficient and effective future.

Date :
  1. Date Completed 2021-06-25
  2. Date Revised 2021-06-25
Further Info :

Pubmed ID

32703667

DOI: Digital Object Identifier

10.1016/j.japh.2020.06.010

Related Literature

Article Analysis
・Effects of warfarin
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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