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http://hdl.handle.net/2445/149470
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DC Field | Value | Language |
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dc.contributor.author | Esmatjes Mompó, Enric | - |
dc.contributor.author | Jansà, Margarida | - |
dc.contributor.author | Roca, Daria | - |
dc.contributor.author | Pérez Ferre, Natalia | - |
dc.contributor.author | Valle, Laura del | - |
dc.contributor.author | Martínez Hervás, Sergio | - |
dc.contributor.author | Ruiz de Adana, Marisol | - |
dc.contributor.author | Linares, Francisca | - |
dc.contributor.author | Batanero, Ricardo | - |
dc.contributor.author | Vázquez, Federico | - |
dc.contributor.author | Gomis, Ramon, 1946- | - |
dc.contributor.author | Solà Morales, Oriol de | - |
dc.contributor.author | Telemed-Diabetes Group | - |
dc.date.accessioned | 2020-02-05T16:19:00Z | - |
dc.date.available | 2020-02-05T16:19:00Z | - |
dc.date.issued | 2014-06-27 | - |
dc.identifier.issn | 1520-9156 | - |
dc.identifier.uri | http://hdl.handle.net/2445/149470 | - |
dc.description.abstract | Objective: This study evaluated the impact of an Internet-based telematic system on the economic and clinical management of patients with type 1 diabetes mellitus. Research Design and Methods: This 6-month prospective, randomized, comparative, open, multicenter study included patients with type 1 diabetes >18 years old treated with multiple insulin doses and with a glycated hemoglobin (HbA1c) level of >8%. We compared an intervention group (IG) (two face-to-face and five telematic appointments) with a control group (CG) (seven face-to-face appointments). The variables studied were (1) patient and healthcare team costs, (2) metabolic control, (3) knowledge of diabetes, (4) quality of life, and (5) self-care treatment adherence. Results: Of the 154 patients included, 118 (76.6%) completed the study (IG, 54; CG, 64). The time used by the CG to follow the program was 823±645 min versus 353±222 min in the IG (P<0.0001). Compared with the CG, the IG required less healthcare time from the professionals (288±105 min vs. 232±89 min; P<0.001). HbA1c improved in both groups (IG, 9.2±1.5% [77.0±17.0 mmol/mol] vs. 8.7±1.5% [71.6±17.0 mmol/mol] [P<0.001]; CG, 9.2±0.9% [77.0±10.0 mmol/mol] vs. 8.6±0.9% [70.5±10.0 mmol/mol] [P<0.001], as did knowledge and self-care treatment adherence. Conclusions: The use of interactive telematic appointments in subjects with type 1 diabetes and inadequate metabolic control is an efficient strategy, providing results comparable to those of face-to-face appointments in relation to improvement in glycemic control, knowledge acquisition, and self-care treatment adherence, with a significant reduction in the time used, especially by patients. | - |
dc.format.extent | 7 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Mary Ann Liebert | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1089/dia.2013.0313 | - |
dc.relation.ispartof | Diabetes Technology & Therapeutics, 2014, vol. 10, num. 7, p. 435-441 | - |
dc.relation.uri | https://doi.org/10.1089/dia.2013.0313 | - |
dc.rights | (c) Mary Ann Liebert, 2014 | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Diabetis | - |
dc.subject.classification | Assaigs clínics | - |
dc.subject.other | Diabetes | - |
dc.subject.other | Clinical trials | - |
dc.title | The efficiency of telemedicine to optimize metabolic control in patients with type 1 diabetes mellitus: Telemed study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 646028 | - |
dc.date.updated | 2020-02-05T16:19:00Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) |
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File | Description | Size | Format | |
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646028.pdf | 249.19 kB | Adobe PDF | View/Open |
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