文章基本信息

标题：The Clinical Effects of Type 2 Diabetes Patient Management Using Digital Healthcare Technology: A Systematic Review and Meta-Analysis
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作者：Ji-eun Kim ; Tae-shin Park ; Kwang Joon Kim 等
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2022
卷号：10
期号：3
DOI：10.3390/healthcare10030522
语种：English
出版社：MDPI Publishing
摘要：The disease control rate is very low (at less than 30%) for diabetes. The use of digital healthcare technology is increasing recently for continuous management in daily life. In this study, a meta-analysis was conducted to evaluate the clinical effects of digital healthcare technology for patients with type 2 diabetes management. For a review of the literature, databases such as PubMed, Embase, and Cochrane Library were searched using Medical Subject Heading (MeSH) terms published up to 9 August 2021. As a result, 2354 articles were identified, and 12 randomized controlled trial articles were finally included. Digital healthcare technology combined management for type 2 diabetes significantly decreased HbA1c ( p < 0.00001, standardized mean difference (SMD) = −0.49) and marginally decreased triglyceride, compared with usual care ( p = 0.06, SMD = −0.18). However, it did not significantly affect BMI ( p = 0.20, SMD = −0.47), total cholesterol ( p = 0.13, SMD = −0.19), HLD-C ( p = 0.89, SMD = −0.01), LDL-C ( p = 0.95, SMD = −0.01), systolic BP ( p = 0.83, SMD = 0.03), or diastolic BP ( p = 0.23, SMD = 0.65), compared with usual care. These results indicate that digital healthcare technology can improve HbA1c and triglyceride levels of type 2 diabetes patients. Further well-designed randomized controlled clinical trials are needed to confirm the clinical effect of digital healthcare technology.
关键词：endigital healthcare technologytype 2 diabetesHbA1c