Home telemonitoring of patients with diabetes: a systematic assessment of observed effects
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
RATIONALE, AIMS AND OBJECTIVES: Diabetes represents a common chronic disease continuously growing worldwide. Unless closely monitored, it can be associated with serious complications and high expenditures. Telemonitoring is a patient management approach increasingly used with chronic illnesses. It supports timely transmission and remote interpretation of patients' data for follow-up and preventive interventions. No comprehensive review exists on all aspects of diabetes 'home telemonitoring' and its effects. The objective of this study is to provide a systematic review of this approach and its effect at the informational, clinical, behavioural, structural and economical levels. METHODS: A comprehensive literature review was conducted on Medline and Cochrane Library to identify relevant articles. The keywords used include diabetes, telemonitoring, home monitoring, telecare and telemedicine. RESULTS: Seventeen studies using diverse technologies and transmitting different clinical, medical and behavioural data were found. Significant impacts were observed namely at the behavioural, clinical and structural levels. Minimal technical problems and no cost-benefit and cost-effectiveness analyses were reported. CONCLUSION: Close management of diabetic patients through telemonitoring showed significant reduction in HbA(1c) and complications, good receptiveness by patients and patient empowerment and education. Yet, the magnitude of its effects remains debatable, especially with the variation in patients' characteristics (e.g. background, ability for self-management, medical condition), samples selection and approach for treatment of control groups. Further investigation of telemonitoring efficacy and cost-effectiveness over longer periods of time, and larger samples is needed. Assessment of the attitude of providers is also important in light of their heavy workload and issues of reimbursement.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.019 | 0.025 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it