A Systematic Review And Meta-Analysis
Prof. Doutor João A. Fonseca
Introdução à Medicina I

It is not known if and how cellular phone based
technologies improve outcomes in what concerns
the monitoring of chronic diseases and the
relation between patients and caregivers.
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Background

Increasing frequency

Improvement of the relationship between the doctor and patients

Promotion of an healthier behavior

Self-care promotion

Information exchange and emotional support

Management of the demand for health services
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Aims

Investigate if cellular phone based technologies can help
patients in the process of monitoring their illnesses

Analyze if these technologies improve clinical outcomes

Verify the feasibility and usability of these technologies
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Methods

Systematic Review and Meta-Analysis

Scientific Article as the unit of analysis

Databases: PubMed, AtoZ, UpToDate, ISI Web of
Knowledge, Google Scholar and SCOPUS
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Expected Results
 It is possible that patients have evaluated these
technologies positively.
 Professionals may have some doubts about their benefits.
 Mobile phone based technologies may be costly.
 Some patients may show some difficulties due to their
weak familiarity with cellular phone use, age or level of
education.
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Keywords
 Cellular
Phone
 Monitoring, Physiologic
 Chronic Diseases
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Basic concepts
Chronic diseases
Monitoring
Cellular phone-based
Technology
Fig.1_Basic concepts
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Healthcare
professional
Communication of
adapted treatment
Quickly
communication of
symptoms
Patient with chronic
diseases or victims of
aggressive and toxic
treatments
Fig.2 _ The use of cellular phone-based technologies
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
This technology
 is becoming more common
 can provide a direct link between patient and caregiver
improvement of the quality of life
But…


Chronic patients
Victims of aggressive/toxic treatments
It is still costly
Can cause difficulties in its use due to weak familiarity
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
In order to solve our problem, we will use…

Unity of analyze
Studies related to the application of cellular phone
based-technologies to patients with chronic diseases
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
New
monitoring and
communication
technologies
available
Increasing
interest
Worth
exploring
subject
Need to
sum up the
published
studies
Need to
determine if its
use can really
improve
medical results
Cellular phone-based technologies for monitoring Pacients with
Chronic Diseases
Fig.3_ Justification of the study
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
Aims

Summarization of the available data;

Identify in what ways cellular phone-based technologies can
improve the monitoring of patients;

Verify the feasibility and usability of this technologies;

Understand the advantages of these technologies against the usual
methods;

Analyze clinical outcomes, specially the improvement of quality of
life, and economical outcomes.
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I

Hilary Pinnock, Roger Slack, Claudia Pagliari, David Price, Aziz Sheikh; Understanding the potential role of
mobile phone-based monitoring on asthma self-management: qualitative study; Clin Exp Allergy. 2007
May;37(5):794-802; Available at: www.pubmed.pt 26-10-2007.

http://www.who.int/en/, Available on 1-11-2007.

Morak J, Kollmann A, Schreier G; Feasibility and usability of a home monitoring concept based on mobile
phones and near field communication (NFC) technology; Medinfo. 2007; 12 (Pt 1):112-6; Available at:
www.pubmed.pt 26-10-2007.

Huong Q. Nguyen, RN, PhD, Seth Wolpin, RN, PhD, Kuan-Chun Chiang, BSN, DorAnne Cuenco, RN, PhD,
and Virginia Carrieri-Kohlman, RN, DNSc; Exercise and Symptom Monitoring with a Mobile Device; AMIA
Annu Symp Proc. 2006; 2006: 1047; Available at: www.pubmed.pt 26-10-2007.

Kovacs F, Horvath C, Torok M, Hosszu G.; Fetal breathing transmission in phonocardiographic monitoring
telemedicine systems; Conf Proc IEEE Eng Med Biol Soc. 2006; 1: 5226-9; Available at: www.pubmed.pt 2610-2007.

Spaniel F, Vohlídka P, Hrdlička J, Kožený J, Novák T, Motlová L, Cermák J, Bednařík J, Novák D, Höschl C.;
ITAREPS: Information Technology Aided Relapse Prevention Programme in Schizophrenia; Schizophr Res.
2007 Oct; Available at: www.pubmed.pt 26-10-2007.

Boland, Peter PhD; Quality Management and Measurement; Journal of Ambulatory Care Management
30(2):126-33, April/June 2007. Available at: www.pubmed.pt 26-10-2007.

Jun BG, Park KS, Kim SS, Park MS, Kim KA, Lee TS, Cha EJ.; Miniatured blood glucose measurement
module interfaced with cellular phone; Studies in Health Technology and Informatics, Volume 122, 2006;
Available at: www.pubmed.pt 26-10-2007.

Weaver A, Young AM, Rowntree J, Townsend N, Pearson S, Smith J, Gibson O, Cobern W, Larsen M,
Tarassenko L.; Application of mobile phone technology for managing chemotherapy-associated side-effects,
Ann Oncology 2007 Oct 5. Available at: www.pubmed.pt 26-10-2007.
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I
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Alexandra Azevedo
Ana Luísa Graça
Ana Luísa Pardilhó
Ana Sofia Lisboa
Ana Sofia Pessoa
Diogo Miguel
Fernando Sá
Joana Cunha
Maycoll Vieira
Pedro Lopes
Pedro Souteiro
Sara Coelho
Susana Carrilho
Prof. Doutor João A. Fonseca
Turma 3
Introdução à Medicina I