Effectiveness of telemedicine in patients with inflammatory bowel disease: an overview systematic review
10.3760/cma.j.cn115682-20220829-04226
- VernacularTitle:远程医疗在炎症性肠病患者中应用效果的系统评价再评价
- Author:
Yanqiu FANG
1
;
Li QIAN
;
Tingting CHONG
;
Di WU
Author Information
1. 贵州中医药大学护理学院，贵阳 550002
- Keywords:
Ulcerative colitis;
Crohn disease;
Inflammatory bowel diseases;
Telemedicine;
Overview of systematic review;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(11):1407-1413
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To reevaluate the systematic review/Meta-analysis of effectiveness of telemedicine in patients with inflammatory bowel disease (IBD) .Methods:Systematic reviews/Meta-analyses of the effectiveness of telemedicine in patients with IBD were searched through computers on China National Knowledge Infrastructure, WanFang Data, VIP, China Biology Medicine disc, PubMed, Cochrane Library, Embase, Web of Science, Ovid, and CINAHL. The search time limit was from the establishment of the database to April 30, 2022. After independently selecting and extracting data from the article, two researchers used the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2) to evaluate the methodological quality of the included study. The Grades of Recommendations Assessment, Development and Evaluation (GRADE) system was used to grade the main outcome indicators of the included study by two researchers. Descriptive analysis was used to analyze the effectiveness of telemedicine in patients with IBD.Results:A total of six systematic reviews/Meta-analyses were included. The AMSTAR 2 evaluation results showed that the methodological quality of one study was low, while the methodological quality of five studies was extremely low. The main reasons for the low methodological quality of various studies were the failure to report the previous research protocol, the list of excluded studies during the full text reading stage, the funding sources of included studies, and publication bias. The results of the GRADE system evaluation showed that a total of 10 outcome indicators were involved in the six studies for Meta-analysis, with three indicators having a GRADE system rating of intermediate, four indicators having a GRADE system rating of low, and three indicators having a GRADE system rating of extremely low. The main degradation factors were research limitations, followed by inconsistency, imprecision, and publication bias.Conclusions:Systematic reviews/Meta-analyses of the effectiveness of telemedicine in patients with IBD have low methodological quality and outcome indicators, and the reliability of conclusions is low. More high-quality systematic reviews/Meta-analyses are needed in the future to confirm the effectiveness of telemedicine in patients with IBD.
