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Table 5 Studies comparing remote home monitoring (dedicated monitoring devices) to no remote home monitoring

From: Effectiveness of remote home monitoring for patients with Chronic Obstructive Pulmonary Disease (COPD): systematic review

Studies comparing RHM (dedicated monitoring devices) to no RHM

Outcomes

№ of participants

(studies)

Certainty of the evidence

(GRADE)

Relative effect*

(95% CI)

Anticipated absolute effects

Risk with no RHM

Risk difference with RHM (dedicated monitoring devices)

COPD Assessment Test (CAT) scores at the end of monitoring period

62

(1 RCT)

LOW a,b

not pooled

not pooled

not pooled

Patient experience- Overall satisfaction at the end of monitoring period

111

(3 RCTs)

LOW a,b

not pooled

not pooled

not pooled

Patient experience- Overall satisfaction at the end of monitoring period

69

(1 observational study)

VERY LOW b,c

not pooled

not pooled

not pooled

Average number of exacerbations

62

(1 RCT)

LOW a,b

not pooled

not pooled

not pooled

Average number of exacerbations

1238

(1 observational study)

VERY LOW c

not pooled

not pooled

not pooled

Average number of ER visits due to COPD

302

(4 RCTs)

LOW a,b

not pooled

not pooled

not pooled

Average number of hospital admissions due to COPD

353

(5 RCTs)

LOW a,b

not pooled

not pooled

not pooled

Average number of hospital admissions due to COPD

1238

(1 observational study)

VERY LOW c

not pooled

not pooled

not pooled

Adherence as the proportion of participants who completed the study

707

(7 RCTs)

LOW a,d

not pooled

not pooled

not pooled

  1. *The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI)
  2. CI Confidence interval, COPD Chronic obstructive pulmonary disease, ER Emergency room, RCT Randomized clinical trial, RHM Remote home monitoring
  3. a Study(ies) at high risk of bias
  4. b Small sample size
  5. c Study at high risk of selection bias and presence of confounding variables
  6. d The outcome is an indirect measure of compliance with intervention