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Systematic Reviews
Published in: Systematic Reviews 1/2019

Open Access 01-12-2019 | Telemedicine | Protocol

Telemedicine infectious diseases consultations and clinical outcomes: a systematic review and meta-analysis protocol

Authors: Jason P. Burnham, Stephanie A. Fritz, Lauren H. Yaeger, Graham A. Colditz

Published in: Systematic Reviews | Issue 1/2019

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Abstract

Background

Telemedicine use is increasing in many specialties, but its impact on clinical outcomes in infectious diseases has not been systematically studied and reviewed. The proposed systematic review will evaluate the current evidence regarding the effect of telemedicine infectious diseases consultation on a range of clinical outcomes, including mortality, hospital readmission, antimicrobial use, and cost.

Method/design

Standard systematic review methodology will be used, with searches of Ovid MEDLINE 1946-, https://​embase.​com/​ 1947-, Scopus 1823-, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Register of Controlled Trials (CENTRAL), and https://​clinicaltrials.​gov/​ 1997-. There will be no restriction on language or year of publication. The primary outcome will be 30-day all-cause mortality and secondary outcomes will include readmission within 30 days after discharge from an initial hospitalization with an infection, patient compliance/adherence, patient satisfaction, cost or cost effectiveness, length of hospital stay, antimicrobial use, and antimicrobial stewardship. Bias will be assessed using standard Cochrane methodologies. Data will be grouped by outcome and narratively synthesized. Meta-analysis will be performed for outcomes with clinical or methodological homogeneity. The systematic review and meta-analysis will be registered through PROSPERO. Pre-planned subgroup analyses will be detailed.

Discussion

A number of studies have documented the feasibility of telemedicine for infectious diseases, but a synthesis of clinical outcomes data with telemedicine infectious diseases consultation has not been performed. This systematic review will analyze many clinical outcomes of telemedicine infectious diseases consultation. The findings of this study will add to established literature about feasibility of telemedicine consultation by synthesizing the evidence for clinical effectiveness.

Systematic review registration

Appendix
Available only for authorised users
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Metadata
Title
Telemedicine infectious diseases consultations and clinical outcomes: a systematic review and meta-analysis protocol
Authors
Jason P. Burnham
Stephanie A. Fritz
Lauren H. Yaeger
Graham A. Colditz
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Telemedicine
Published in
Systematic Reviews / Issue 1/2019
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-019-1056-y

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