Managing cardiovascular risk factors with telemedicine in primary care : a systematic review and meta-analysis of patients with arterial hypertension and type 2 diabetes

Mihevc, Matic (avtor), Virtič, Tina (avtor), Zavrnik, Črt (avtor), Klemenc-Ketiš, Zalika (avtor), Poplas-Susič, Tonka (avtor), Petek Šter, Marija (avtor)

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, HbA$_{1c}$ 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.

• Jezik: Angleški jezik
• Ključne besede: HbA$_{1c}$, telemonitoring, blood pressure, health education, lipids, teleconsultations
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2025
• Št. strani: Str. 3-24
• Številčenje: Vol. 21, iss. 1
• PID: 20.500.12556/RUL-183058
• UDK: 614
• ISSN pri članku: 1745-9206
• DOI: 10.1177/17423953241277896
• COBISS.SI-ID: 206767107
• Datum objave v RUL: 03.06.2026

Gradivo je del revije

• Naslov: Chronic illness
• Založnik: Sage
• ISSN: 1745-9206
• COBISS.SI-ID: 518239257

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: HbA$_{1c}$, telemonitoring, krvni tlak, zdravstvena vzgoja, lipidi, telekonzultacije

Projekti

• Financer: EC - European Commission
• Številka projekta: 825432
• Naslov: SCale Up an integrated care package for diaBetes and hYpertension for vulnerable people in Cambodia, Slovenia and Belgium
• Akronim: SCUBY

• Financer: ARRS - Agencija za raziskovalno dejavnost Republike Slovenije
• Številka projekta: P3-0339
• Naslov: Raziskave na področju javnega zdravja