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Effect of telemedicine follow-up care of leg and foot ulcers: a systematic review

Overview of attention for article published in BMC Health Services Research, November 2014
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  • Above-average Attention Score compared to outputs of the same age and source (56th percentile)

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9 X users

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36 Dimensions

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135 Mendeley
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Title
Effect of telemedicine follow-up care of leg and foot ulcers: a systematic review
Published in
BMC Health Services Research, November 2014
DOI 10.1186/s12913-014-0565-6
Pubmed ID
Authors

Lena Victoria Nordheim, Marianne Tveit Haavind, Marjolein M Iversen

Abstract

BackgroundLeg ulcers and diabetes-related foot ulcers are frequent and costly complications of their underlying diseases and thus represent a critical issue for public health. Since the population is aging, the prevalence of these conditions will probably increase considerably and require more resources. Treatment of leg and foot ulcers often demands frequent contact with the health care system, may pose great burden on the patient, and involves follow-up in both primary and specialist care. Telemedicine provides potential for more effective care management of leg and foot ulcers. The objective of this systematic review of the literature was to assess the effect of telemedicine follow-up care on clinical, behavioral or organizational outcomes among patients with leg and foot ulcers.MethodsWe searched Ovid MEDLINE (1980¿), Ovid EMBASE (1980¿), Clinical Trials in the Cochrane Library (via Wiley), Ebsco CINAHL with Fulltext (1981¿) and SveMed¿+¿(1977¿) up to May 2014 for relevant articles. We considered randomized controlled trials, non-randomized trials, controlled before-after studies and prospective cohort studies for inclusion and selected studies according to predefined criteria. Three reviewers independently assessed the included studies using the Cochrane Collaboration risk-of-bias tool. We performed a narrative synthesis of results and assessed the strength of evidence for each outcome using GRADE (grading of recommendations, assessment, development and evaluation).ResultsOnly one non-randomized study was included. The study (n =140) measured the effect of real-time interactive video consultation compared with face-to-face follow-up on healing time, adjusted healing ratio and the number of ulcers at 12 weeks among patients with neuropathic forefoot ulcerations. There were no statistically significant differences in results of the different outcomes between patients receiving telemedicine and traditional follow-up. We assessed the study to have a high risk of bias.ConclusionsThere is insufficient evidence available to unambiguously determine whether telemedicine consultation of leg and foot ulcers is as effective as traditional follow-up.

X Demographics

X Demographics

The data shown below were collected from the profiles of 9 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 135 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Spain 1 <1%
Unknown 133 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 27 20%
Researcher 14 10%
Student > Ph. D. Student 13 10%
Student > Bachelor 10 7%
Other 8 6%
Other 28 21%
Unknown 35 26%
Readers by discipline Count As %
Medicine and Dentistry 37 27%
Nursing and Health Professions 26 19%
Economics, Econometrics and Finance 5 4%
Social Sciences 5 4%
Psychology 5 4%
Other 18 13%
Unknown 39 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 March 2016.
All research outputs
#6,781,519
of 22,769,322 outputs
Outputs from BMC Health Services Research
#3,285
of 7,622 outputs
Outputs of similar age
#75,686
of 262,797 outputs
Outputs of similar age from BMC Health Services Research
#70
of 162 outputs
Altmetric has tracked 22,769,322 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 7,622 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 262,797 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.
We're also able to compare this research output to 162 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 56% of its contemporaries.