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Remote versus face-to-face check-ups for asthma.
Kayleigh M Kew1, Christopher J Cates
1Population Health Research Institute, St George's, University of London, Cranmer Terrace, London, UK, SW17 0RE.
The Cochrane Database of Systematic Reviews
|April 19, 2016
Summary
Remote asthma check-ups show no significant differences in exacerbations, control, or quality of life compared to face-to-face visits. More research is needed to confirm safety and efficacy for asthma management.
Area of Science:
- Respiratory Medicine
- Digital Health
- Evidence-Based Practice
Background:
- Asthma management requires regular monitoring and medication adjustment.
- Telehealth and internet technologies are being explored for managing chronic conditions like asthma.
- Remote check-ups offer potential efficiency but their effectiveness and safety are uncertain.
Purpose of the Study:
- To evaluate the safety and efficacy of remote asthma check-ups compared to traditional face-to-face consultations.
Main Methods:
- Conducted a systematic review of parallel randomized controlled trials (RCTs) comparing remote and face-to-face asthma check-ups.
- Searched multiple databases and trial registries up to November 2015.
- Extracted data on asthma exacerbations, control, quality of life, and adverse events.
Main Results:
- Six studies with 2100 participants were included; four were pooled for main efficacy analysis.
- No significant difference was found in asthma exacerbations requiring oral corticosteroids between remote and face-to-face groups.
- Asthma control (ACQ) and quality of life (AQLQ) showed no significant differences, though blinding limitations may impact confidence.
Conclusions:
- Current evidence does not show significant differences between remote and face-to-face asthma check-ups regarding exacerbations, control, or quality of life.
- Insufficient data exists to definitively conclude on the safety or efficacy of remote asthma check-ups as an alternative to in-person consultations.
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