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Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial.

Abstract To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care.
PMID
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Authors

Mayor MeshTerms

Disease Progression

Primary Health Care

Quality of Life

Telemedicine

Keywords
Journal Title bmj (clinical research ed.)
Publication Year Start
%A Pinnock, Hilary; Hanley, Janet; McCloughan, Lucy; Todd, Allison; Krishan, Ashma; Lewis, Stephanie; Stoddart, Andrew; van der Pol, Marjon; MacNee, William; Sheikh, Aziz; Pagliari, Claudia; McKinstry, Brian
%T Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial.
%J BMJ (Clinical research ed.), vol. 347, p. f6070
%D 10/2013
%V 347
%M eng
%B To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care.
%K Aged, Algorithms, Decision Support Systems, Clinical, Disease Progression, Female, Health Knowledge, Attitudes, Practice, Hospitalization, Humans, Male, Medication Adherence, Patient Readmission, Primary Health Care, Program Evaluation, Pulmonary Disease, Chronic Obstructive, Quality of Life, Scotland, Self Care, Single-Blind Method, Surveys and Questionnaires, Telemedicine
%P f6070
%W PHY
%G AUTHOR
%R 2013......347....0P

@Article{Pinnock2013,
author="Pinnock, Hilary
and Hanley, Janet
and McCloughan, Lucy
and Todd, Allison
and Krishan, Ashma
and Lewis, Stephanie
and Stoddart, Andrew
and van der Pol, Marjon
and MacNee, William
and Sheikh, Aziz
and Pagliari, Claudia
and McKinstry, Brian",
title="Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial.",
journal="BMJ (Clinical research ed.)",
year="2013",
month="Oct",
day="17",
volume="347",
pages="f6070",
keywords="Aged",
keywords="Algorithms",
keywords="Decision Support Systems, Clinical",
keywords="Disease Progression",
keywords="Female",
keywords="Health Knowledge, Attitudes, Practice",
keywords="Hospitalization",
keywords="Humans",
keywords="Male",
keywords="Medication Adherence",
keywords="Patient Readmission",
keywords="Primary Health Care",
keywords="Program Evaluation",
keywords="Pulmonary Disease, Chronic Obstructive",
keywords="Quality of Life",
keywords="Scotland",
keywords="Self Care",
keywords="Single-Blind Method",
keywords="Surveys and Questionnaires",
keywords="Telemedicine",
abstract="To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care.",
issn="1756-1833",
url="http://www.ncbi.nlm.nih.gov/pubmed/24136634",
language="eng"
}

%0 Journal Article
%T Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial.
%A Pinnock, Hilary
%A Hanley, Janet
%A McCloughan, Lucy
%A Todd, Allison
%A Krishan, Ashma
%A Lewis, Stephanie
%A Stoddart, Andrew
%A van der Pol, Marjon
%A MacNee, William
%A Sheikh, Aziz
%A Pagliari, Claudia
%A McKinstry, Brian
%J BMJ (Clinical research ed.)
%D 2013
%8 October 17
%V 347
%@ 1756-1833
%G eng
%F Pinnock2013
%X To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care.
%K Aged
%K Algorithms
%K Decision Support Systems, Clinical
%K Disease Progression
%K Female
%K Health Knowledge, Attitudes, Practice
%K Hospitalization
%K Humans
%K Male
%K Medication Adherence
%K Patient Readmission
%K Primary Health Care
%K Program Evaluation
%K Pulmonary Disease, Chronic Obstructive
%K Quality of Life
%K Scotland
%K Self Care
%K Single-Blind Method
%K Surveys and Questionnaires
%K Telemedicine
%U http://www.ncbi.nlm.nih.gov/pubmed/24136634
%P f6070

PT Journal
AU Pinnock, H
   Hanley, J
   McCloughan, L
   Todd, A
   Krishan, A
   Lewis, S
   Stoddart, A
   van der Pol, M
   MacNee, W
   Sheikh, A
   Pagliari, C
   McKinstry, B
TI Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial.
SO BMJ (Clinical research ed.)
JI BMJ
PD 10
PY 2013
BP f6070
VL 347
LA eng
DE Aged; Algorithms; Decision Support Systems, Clinical; Disease Progression; Female; Health Knowledge, Attitudes, Practice; Hospitalization; Humans; Male; Medication Adherence; Patient Readmission; Primary Health Care; Program Evaluation; Pulmonary Disease, Chronic Obstructive; Quality of Life; Scotland; Self Care; Single-Blind Method; Surveys and Questionnaires; Telemedicine
AB To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care.
ER

PMID- 24136634
OWN - NLM
STAT- MEDLINE
DA  - 20131018
DCOM- 20131216
LR  - 20151119
IS  - 1756-1833 (Electronic)
IS  - 0959-535X (Linking)
VI  - 347
DP  - 2013
TI  - Effectiveness of telemonitoring integrated into existing clinical services on
      hospital admission for exacerbation of chronic obstructive pulmonary disease:
      researcher blind, multicentre, randomised controlled trial.
PG  - f6070
LID - 10.1136/bmj.f6070 [doi]
LID - bmj.f6070 [pii]
AB  - OBJECTIVE: To test the effectiveness of telemonitoring integrated into existing
      clinical services such that intervention and control groups have access to the
      same clinical care. DESIGN: Researcher blind, multicentre, randomised controlled 
      trial. SETTING: UK primary care (Lothian, Scotland). PARTICIPANTS: Adults with at
      least one admission for chronic obstructive pulmonary disease (COPD) in the year 
      before randomisation. We excluded people who had other significant lung disease, 
      who were unable to provide informed consent or complete the study, or who had
      other significant social or clinical problems. INTERVENTIONS: Participants were
      recruited between 21 May 2009 and 28 March 2011, and centrally randomised to
      receive telemonitoring or conventional self monitoring. Using a touch screen,
      telemonitoring participants recorded a daily questionnaire about symptoms and
      treatment use, and monitored oxygen saturation using linked instruments.
      Algorithms, based on the symptom score, generated alerts if readings were omitted
      or breached thresholds. Both groups received similar care from existing clinical 
      services. MAIN OUTCOME MEASURES: The primary outcome was time to hospital
      admission due to COPD exacerbation up to one year after randomisation. Other
      outcomes included number and duration of admissions, and validated questionnaire 
      assessments of health related quality of life (using St George's respiratory
      questionnaire (SGRQ)), anxiety or depression (or both), self efficacy, knowledge,
      and adherence to treatment. Analysis was intention to treat. RESULTS: Of 256
      patients completing the study, 128 patients were randomised to telemonitoring and
      128 to usual care; baseline characteristics of each group were similar. The
      number of days to admission did not differ significantly between groups (adjusted
      hazard ratio 0.98, 95% confidence interval 0.66 to 1.44). Over one year, the mean
      number of COPD admissions was similar in both groups (telemonitoring 1.2
      admissions per person (standard deviation 1.9) v control 1.1 (1.6); P=0.59). Mean
      duration of COPD admissions over one year was also similar between groups (9.5
      days per person (standard deviation 19.1) v 8.8 days (15.9); P=0.88). The
      intervention had no significant effect on SGRQ scores between groups (68.2
      (standard deviation 16.3) v 67.3 (17.3); adjusted mean difference 1.39 (95%
      confidence interval -1.57 to 4.35)), or on other questionnaire outcomes.
      Conclusions In participants with a history of admission for exacerbations of
      COPD, telemonitoring was not effective in postponing admissions and did not
      improve quality of life. The positive effect of telemonitoring seen in previous
      trials could be due to enhancement of the underpinning clinical service rather
      than the telemonitoring communication. TRIAL REGISTRATION: ISRCTN96634935.
      FUNDING: The trial was funded by an NHS applied research programme grant from the
      Chief Scientist Office of the Scottish government (ARPG/07/03). The funder had no
      role in study design and the collection, analysis, and interpretation of data and
      the writing of the article and the decision to submit it for publication. NHS
      Lothian supported the telemonitoring service and the clinical services.
FAU - Pinnock, Hilary
AU  - Pinnock H
AD  - Allergy and Respiratory Research Group, Centre for Population Health Sciences,
      University of Edinburgh, Edinburgh EH8 9AG, UK.
FAU - Hanley, Janet
AU  - Hanley J
FAU - McCloughan, Lucy
AU  - McCloughan L
FAU - Todd, Allison
AU  - Todd A
FAU - Krishan, Ashma
AU  - Krishan A
FAU - Lewis, Stephanie
AU  - Lewis S
FAU - Stoddart, Andrew
AU  - Stoddart A
FAU - van der Pol, Marjon
AU  - van der Pol M
FAU - MacNee, William
AU  - MacNee W
FAU - Sheikh, Aziz
AU  - Sheikh A
FAU - Pagliari, Claudia
AU  - Pagliari C
FAU - McKinstry, Brian
AU  - McKinstry B
LA  - eng
SI  - ISRCTN/ISRCTN96634935
GR  - ARPG/07/03/Chief Scientist Office/United Kingdom
GR  - G0800803/Medical Research Council/United Kingdom
GR  - G0901697/Medical Research Council/United Kingdom
GR  - PCRCA/08/01/Chief Scientist Office/United Kingdom
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20131017
PL  - England
TA  - BMJ
JT  - BMJ (Clinical research ed.)
JID - 8900488
SB  - AIM
SB  - IM
CIN - BMJ. 2013;347:f5932. PMID: 24136632
MH  - Aged
MH  - Algorithms
MH  - Decision Support Systems, Clinical
MH  - *Disease Progression
MH  - Female
MH  - Health Knowledge, Attitudes, Practice
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Medication Adherence
MH  - Patient Readmission/statistics & numerical data
MH  - *Primary Health Care
MH  - Program Evaluation
MH  - Pulmonary Disease, Chronic
      Obstructive/*epidemiology/physiopathology/psychology/therapy
MH  - *Quality of Life
MH  - Scotland/epidemiology
MH  - Self Care/psychology
MH  - Single-Blind Method
MH  - Surveys and Questionnaires
MH  - *Telemedicine
PMC - PMC3805483
OID - NLM: PMC3805483
EDAT- 2013/10/19 06:00
MHDA- 2013/12/18 06:00
CRDT- 2013/10/19 06:00
PST - epublish
SO  - BMJ. 2013 Oct 17;347:f6070. doi: 10.1136/bmj.f6070.
TY  - JOUR
AU  - Pinnock, Hilary
AU  - Hanley, Janet
AU  - McCloughan, Lucy
AU  - Todd, Allison
AU  - Krishan, Ashma
AU  - Lewis, Stephanie
AU  - Stoddart, Andrew
AU  - van der Pol, Marjon
AU  - MacNee, William
AU  - Sheikh, Aziz
AU  - Pagliari, Claudia
AU  - McKinstry, Brian
PY  - 2013/10/17
TI  - Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial.
T2  - BMJ
JO  - BMJ (Clinical research ed.)
SP  - f6070
VL  - 347
KW  - Aged
KW  - Algorithms
KW  - Decision Support Systems, Clinical
KW  - Disease Progression
KW  - Female
KW  - Health Knowledge, Attitudes, Practice
KW  - Hospitalization
KW  - Humans
KW  - Male
KW  - Medication Adherence
KW  - Patient Readmission
KW  - Primary Health Care
KW  - Program Evaluation
KW  - Pulmonary Disease, Chronic Obstructive
KW  - Quality of Life
KW  - Scotland
KW  - Self Care
KW  - Single-Blind Method
KW  - Surveys and Questionnaires
KW  - Telemedicine
N2  - To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care.
SN  - 1756-1833
UR  - http://www.ncbi.nlm.nih.gov/pubmed/24136634
ID  - Pinnock2013
ER  - 
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