Inconsistent Benefits From Mobile Information Communication Technology in Adults With Peripheral Arterial Disease

Area of Science:

• Cardiovascular Medicine
• Digital Health
• Evidence-Based Medicine

Background:

• The evidence base for telemedicine in peripheral arterial disease (PAD) requires systematic evaluation.
• Mobile information and communication technology (ICT) offers potential for PAD management.

Purpose of the Study:

• To assess the benefits and harms of mobile ICT devices and applications in peripheral arterial disease (PAD).

Main Methods:

• A systematic rapid evidence review and appraisal was conducted using the GRADE approach.
• Included studies comprised sixteen randomized controlled trials (RCTs) evaluating self-monitoring devices, telemedicine, and telephone counseling.

Main Results:

• Low-quality evidence indicated no significant differences in treatment failure, adverse effects, or physical performance between mobile interventions and usual care.
• Single RCTs reported inconsistent improvements in quality of life, with varying effect sizes for different mobile health interventions.
• Evidence quality was limited by inconsistent reporting of patient-centered outcomes and small sample sizes.

Conclusions:

• Further powered RCTs and large postmarketing studies are needed to confirm the observed quality of life improvements with specific mobile applications in PAD.
• The role of mobile interventions in PAD management requires more robust evidence.