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Telemedicine in COPD: An Overview by Topics
Miguel T Barbosa1,2, Cláudia S Sousa2,3, Mário Morais-Almeida2
1Pulmonology Department, Hospital Centre of Barreiro-Montijo, Barreiro, Portugal.
COPD
|September 7, 2020
Summary
Telemedicine shows promise for managing Chronic Obstructive Pulmonary Disease (COPD), improving self-management and patient safety, especially during the COVID-19 pandemic. Further research is needed due to study heterogeneity.
Area of Science:
- * Pulmonary Medicine
- * Digital Health
- * Health Services Research
Background:
- * Chronic Obstructive Pulmonary Disease (COPD) presents a significant global health burden.
- * Telemedicine offers potential solutions for patient care, particularly for those with limited access.
- * Patient safety concerns, amplified by the COVID-19 pandemic, highlight the need for remote healthcare tools.
Purpose of the Study:
- * To review the existing literature on telemedicine applications for COPD management.
- * To assess the benefits and limitations of various telemedicine interventions in COPD care.
- * To evaluate the role of telemedicine in ensuring patient safety during health crises.
Main Methods:
- * A comprehensive literature search was conducted in the MEDLINE database.
- * Search terms included "Telemedicine" and related terms combined with "COPD".
- * Included studies were systematic reviews, reviews, meta-analyses, clinical trials, and randomized-controlled trials published between January 2015 and May 2020.
Main Results:
- * Positive trends observed in tele-rehabilitation, health education, self-management, early exacerbation detection, psychosocial support, and smoking cessation.
- * Heterogeneity in clinical trials and reviews complicates definitive conclusions.
- * Telemonitoring and cost-effectiveness results were contradictory; teleconsultation literature was scarce.
Conclusions:
- * Telemedicine demonstrates a tendency towards non-inferiority compared to conventional COPD management.
- * It presents an opportunity to deliver quality, safe healthcare to COPD patients.
- * Telemedicine is particularly relevant for patient safety during the COVID-19 outbreak.
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