20.500.12556/RUL-183058 Managing cardiovascular risk factors with telemedicine in primary care a systematic review and meta-analysis of patients with arterial hypertension and type 2 diabetes Objectives: To review the effect of telemedicine interventions on cardiovascular risk factors control in people with arterial hypertension (AH), type 2 diabetes (T2D), or both in primary care. Methods: We conducted a systematic review in February 2024 using PubMed/MEDLINE, Cochrane Library, and EMBASE databases. We included randomised controlled trials from 2010 onwards, lasting ≥3 months, comparing telemedicine to standard care for managing cardiovascular risk factors in adults with AH, T2D, or both. Results: Among 1803 records, 54 were included. Telemonitoring with teleconsultations showed the best outcomes. For AH, systolic blood pressure decreased by -5.63 mmHg (95% CI -9.13 to -2.13) at 6 months and -5.59 mmHg (95% CI -10.03 to -1.14) at 12 months compared to standard care. For T2D, HbA1c decreased by -0.45% (95% CI -0.90 to 0.00) at 6 months and -0.18% (95% CI -0.41 to 0.05) at 12 months compared to standard care. Blood glucose self-monitoring was as effective as telemonitoring for T2D at 6 months. The effect on diastolic blood pressure, low-density lipoprotein, triglycerides, and body mass index was non-significant. Discussion: Telemedicine offers short-term benefits but lacks long-term effectiveness. Optimal outcomes require a combined telemedicine approach, health education co-intervention, ≥12-month follow-up, and careful patient selection. HbA1c telemonitoring blood pressure health education lipids teleconsultations HbA1c telemonitoring krvni tlak zdravstvena vzgoja lipidi telekonzultacije true false true Angleški jezik Slovenski jezik Članek v reviji 2026-06-03 09:30:28 2026-06-03 09:30:31 2026-07-09 08:23:43 0000-00-00 00:00:00 2025 0 0 Str. 3-24 iss. 1 Vol. 21 Mar. 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 614 1745-9206 10.1177/17423953241277896 206767107 RAZ_Mihevc_Matic_2025.pdf RAZ_Mihevc_Matic_2025.pdf 1 101BD01377C23EC4E02C8962FA4FCDDA e160b80d6e65e615f4d8aa3a3cc5a350e6fc4423807eed36753a74d6da594a80 fc1f22f1-5f1d-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=234878 https://journals.sagepub.com/doi/10.1177/17423953241277896 1 bdcebb4b-5f1d-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=234877 Medicinska fakulteta 0 0 0