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Table 6 Studies comparing remote home monitoring (phone calls, text messages) to no remote home monitoring

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

Studies comparing RHM (phone calls, text messages) 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 (phone calls, text messages)

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

106

(1 RCT)

LOW a,b

not pooled

not pooled

not pooled

Patient experience- Overall satisfaction at the end of monitoring period—not measured

-

-

-

-

-

Average number of exacerbations—not measured

-

-

-

-

-

Average number of ER visits due to COPD—not measured

-

-

-

-

-

Average number of hospital admissions due to COPD

168

(1 RCT)

LOW a,b

not pooled

not pooled

not pooled

Adherence as the proportion of participants who completed the study

168

(1 RCT)

VERY LOW a,b,c

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 at high risk of bias
  4. b Small sample size
  5. c Outcome is an indirect measure of compliance with intervention