Are we ready for telemonitoring inflammatory bowel disease?A review of advances,enablers,and barriers  

作　　者：Javier Del Hoyo Mónica Millán Alejandro Garrido-Marín Mariam Aguas 

机构地区：[1]Department of Gastroenterology,La Fe University and Polytechnic Hospital,Valencia 46026,Spain [2]Department of Surgery,La Fe University and Polytechnic Hospital,Valencia 46026,Spain [3]Health Research Institute La Fe,La Fe University and Polytechnic Hospital,Valencia 46026,Spain

出　　处：《World Journal of Gastroenterology》2023年第7期1139-1156,共18页世界胃肠病学杂志（英文版）

摘　　要：This review summarizes the evidence about telemonitoring in patients with inflammatory bowel disease(IBD). To give an overview of the advances performed, as well as the enablers and barriers which favoured/hindered telemonitoring implementation. We performed a literature search in Pub Med, EMBASE, MEDLINE, Cochrane Database, Web of Science and Conference Proceedings. Titles and abstracts published up to September 2022 were screened for a set of inclusion criteria: telemonitoring intervention, IBD as the main disease, and a primary study performed. Ninety-seven reports were selected for full review. Finally, 20 were included for data extraction and critical appraisal. Most studies used telemonitoring combined with tele-education, and programs evolved from home telemanagement systems towards web portals through m Health applications. Web systems demonstrated patients’ acceptance, improvement in quality of life, disease activity and knowledge, with a good cost-effectiveness profile in the short-term. Initially, telemonitoring was almost restricted to ulcerative colitis, but new patient reported outcome measures, home-based tests and mobile devices favoured its expansion to different patients’ categories. However, technological and knowledge advances led to legal, ethical, economical and logistic issues. Standardization of remote healthcare is necessary, to improve the interoperability of systems as well as to address liability concerns and users’ preferences. Telemonitoring IBD is well accepted and improves clinical outcomes at a lower cost in the short-term. Funders, policymakers, providers, and patients need to align their interests to overcome the emerging barriers for its full implementation.

关 键 词：Inflammatory bowel disease TELEMEDICINE TELEMONITORING Information and communication technology Crohn´s disease Ulcerative colitis 

分 类 号：R574[医药卫生—消化系统]