Effectiveness of remote care interventions: a systematic review informing the 2022 EULAR Points to Consider for remote care in rheumatic and musculoskeletal diseases. Issue 1 (6th May 2022)

• Record Type: Journal Article
• Authors: Marques, Andréa; Bosch, Philipp; de Thurah, Annette; Meissner, Yvette; Falzon, Louise; Mukhtyar, Chetan; Bijlsma, Johannes WJ; Dejaco, Christian; Stamm, Tanja A
• Other Names: author non-byline.; Thurah Annette de author non-byline.; Bosch Philipp author non-byline.; Marques Andréa author non-byline.; Meissner Yvette author non-byline.; Mukhtyar Chetan B. author non-byline.; Zabotti Alen author non-byline.; Knitza Johannes author non-byline.; Najm Aurélie author non-byline.; Østerås Nina author non-byline.; Pelle Tim author non-byline.; Knudsen Line Raunsbæk author non-byline.; Šmucrová Hana author non-byline.; Berenbaum Francis author non-byline.; Jani Meghna author non-byline.; Geenen Rinie author non-byline.; Krusche Martin author non-byline.; Pchelnikova Polina author non-byline.; Souza Savia de author non-byline.; Badreh Sara author non-byline.; Wiek Dieter author non-byline.; Piantoni Silvia author non-byline.; Gwinnutt James M. author non-byline.; Duftner Christina author non-byline.; Canhão Helena author non-byline.; Quartuccio Luca author non-byline.; Stoilov Nikolay author non-byline.; Prior Yeliz author non-byline.; Bijlsma Johannes author non-byline.; Stamm Tanja author non-byline.; Dejaco Christian author non-byline.;
• Is Part Of: RMD open. Volume 8:Issue 1(2022)
• Publication Date: 2022-05-06
• Subjects: patient care team -- patient reported outcome measures -- autoimmune diseases; Musculoskeletal system -- Diseases -- Periodicals; Rheumatism -- Periodicals; 616.7005
• DOI: 10.1136/rmdopen-2022-002290
• Languages: English
• ISSNs: 2056-5933

Abstract

Abstract : Objective: To perform a systematic literature review (SLR) on different outcomes of remote care compared with face-to-face (F2F) care, its implementation into clinical practice and to identify drivers and barriers in order to inform a task force formulating the EULAR Points to Consider for remote care in rheumatic and musculoskeletal diseases (RMDs). Methods: A search strategy was developed and run in Medline (PubMed), Embase and Cochrane Library. Two reviewers independently performed standardised data extraction, synthesis and risk of bias (RoB) assessment. Results: A total of 2240 references were identified. Forty-seven of them fulfilled the inclusion criteria. Remote monitoring (n=35) was most frequently studied, with telephone/video calls being the most common mode of delivery (n=30). Of the 34 studies investigating outcomes of remote care, the majority addressed efficacy and user perception; 34% and 21% of them, respectively, reported a superiority of remote care as compared with F2F care. Time and cost savings were reported as major benefits, technical aspects as major drawback in the 13 studies that investigated drivers and barriers of remote care. No study addressed remote care implementation. The main limitation of the studies identified was the heterogeneity of outcomes and methods, as well as a substantial RoB (50% of studies with high RoB). Conclusions: Remote care leads to similar or better results compared with F2F treatment concerning efficacy, safety, adherence and user perception outcomes, with the limitation of heterogeneity and considerable RoB of the available studies.