We carried out a critical appraisal and synthesis of the systematic reviews and meta-analyses of remote monitoring for heart failure. A comprehensive literature search identified 65 relevant publications from 3333 citations. Seventeen studies fulfilled the inclusion and exclusion criteria. Seven (41%) systematic reviews pooled results for meta-analysis. Eight (47%) considered all non-invasive remote monitoring strategies. Five (29%) focused on telemonitoring. Four (24%) included both non-invasive and invasive technologies. The reviews were appraised by two independent reviewers for their quality and risk of bias using the AMSTAR tool. According to the AMSTAR criteria, ten (58%) systematic reviews were of poor methodological quality. In the high quality reviews, the relative risk of mortality in patients who received remote monitoring ranged from 0.53 to 0.88. The high quality reviews also reported that remote monitoring reduced the relative risk of all-cause (0.52 to 0.96) and heart failure-related hospitalizations (0.72 to 0.79) and, as a consequence, healthcare costs. However, further research is required before considering widespread implementation of remote monitoring. The subset of the heart failure population that derives the most benefit from intensive monitoring, the best technology, and the optimum duration of monitoring, all need to be identified.
|Number of pages||2|
|Journal||Heart, Lung and Circulation|
|Issue number||Supplement 1|
|Publication status||Published - Jan 2013|
|Event||Cardiac Society of Australia and New Zealand Annual Scientific Meeting and the International Society for Heart Research Australasian Section Annual Scientific Meeting - |
Duration: 8 Aug 2013 → …
Clark, R., Conway, A., Inglis, S., Horton-Breshears, M., & Cleland, J. (2013). Not all systematic reviews are systematic: A meta-review of the quality of current systematic reviews and meta-analyses for remote monitoring in heart failure. Heart, Lung and Circulation, 22(Supplement 1), S84-S85. https://doi.org/10.1016/j.hlc.2013.05.201