{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T06:38:53Z","timestamp":1793601533374,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>\n                    The care of individuals with diabetic foot ulcers is costly and requires multiple hospital visits. Inadequate care leads to serious complications and a high risk of lower extremity amputation. In this review, we aimed at evaluating whether telemedicine can be effective in diabetic foot patient care. We searched Medline through Embase and PubMed and Cochrane Central Register of Controlled Trials (CENTRAL) for relevant studies, published up to April 2017. The studies were summarized and discussed in a narrative method and a meta-analysis of 2 controlled trials was conducted using the fixed-effects model. The main outcomes, assessed in the retrieved studies were the healing rate and satisfaction of patients and health care personnel. Most of the studies showed that implementing telemonitoring programs increased the rate of complete ulcer healing, while the patients were highly satisfied. Two trials providing data on 213 patients on telemedicine and 301 patients on usual care were included for meta-analysis. Subjects in telemedicine, as well as control groups had statistically similar healing time (43 vs 45 days;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .83), healing time ratio adjusted for age (1 vs 1.4;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .1), unhealed ulcers or loss to follow-up (3 of 20 vs 7 of 120;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .13), and amputations (12 of 193 vs 14 of 182;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .59). Subjects in the telemedicine group experienced a significantly higher mortality rate (8 of 193 vs 1 of 181;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .0001) due to unexplained factors. No adverse events were attributed to using the telemedicine technology. The odds of complete ulcer healing were statistically similar between the telemedicine group and controls (odds ratio = 0.86; 95% CI = 0.57-1.33;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .53). Telemedicine care is promising for the management of diabetic foot patients as the results were comparable with usual care. However, further large-scale studies need to be undertaken before it can be implemented widely.\n                  <\/jats:p>","DOI":"10.1177\/1534734617739195","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T07:12:27Z","timestamp":1511421147000},"page":"274-283","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":50,"title":["Telemedicine in Diabetic Foot Care: A Systematic Literature Review of Interventions and Meta-analysis of Controlled Trials"],"prefix":"10.1177","volume":"16","author":[{"given":"Huidi","family":"Tchero","sequence":"first","affiliation":[{"name":"Centre Hospitalier de Saint Martin, Saint Martin, Guadeloupe, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lazarre","family":"Noubou","sequence":"additional","affiliation":[{"name":"Centre Hospitalier de Saint Martin, Saint Martin, Guadeloupe, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Becsangele","sequence":"additional","affiliation":[{"name":"Centre Hospitalier de Saint Martin, Saint Martin, Guadeloupe, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Mukisi-Mukaza","sequence":"additional","affiliation":[{"name":"Polyclinique, Pointe-\u00e0-Pitre, Guadeloupe, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald-Reparate","family":"Retali","sequence":"additional","affiliation":[{"name":"Department of Health Economics, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Rusch","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de recherche interdisciplinaire EES, \u00c9ducation \u00c9thique Sant\u00e9, ESS, Universit\u00e9 Fran\u00e7ois-Rabelais de Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,11,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.2.217"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-87-7-321"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/diab.9.2.100"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.19.1.48"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67698-2"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2013.0313"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2012.120103"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e3874"},{"key":"e_1_3_2_10_2","first-page":"43","article-title":"Results from the world\u2019s largest telemedicine project: the Whole System Demonstrator","volume":"14","author":"Yderstr\u00e6de KB","year":"2014","unstructured":"Yderstr\u00e6de KB, Dyrvig AK, Rasmussen BS, Dinesen BI, Kidholm K. Results from the world\u2019s largest telemedicine project: the Whole System Demonstrator. 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The effectiveness of digital imaging and remote wound consultation on healing rates in chronic lower leg ulcers in the Kimberley region of Western Australia. Prim Intention. 2004;2:62-70.","journal-title":"Prim Intention"},{"key":"e_1_3_2_19_2","doi-asserted-by":"crossref","first-page":"S-26","DOI":"10.1089\/1530562042632074","article-title":"Patient attitudes toward a web-based system for monitoring chronic wounds","volume":"10","author":"Kim HM","year":"2004","unstructured":"Kim HM, Lowery JC, Hamill JB, Wilkins EG. Patient attitudes toward a web-based system for monitoring chronic wounds. Telemed J E Health. 2004;10(suppl 2):S-26-S-34.","journal-title":"Telemed J E Health"},{"key":"e_1_3_2_20_2","first-page":"180","article-title":"WoundsWest advisory service pilot: an innovative delivery of wound management","volume":"18","author":"Edmondson M","year":"2010","unstructured":"Edmondson M, Prentice J, Fielder K, Mulligan S. 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