UNIVERSIDAD CATOLICA NUESTRA SEÑORA DE LA ASUNCIÓN

FACULTAD DE CIENCIAS DE LA SALUD

MEDICINA

INFORMATICA MEDICA

TEMA: USO DEL CELULAR EN MEDICINA

SECCION: A5

TAREA 4 DE UNIDAD BUSQUEDA EN PUBMED

INTEGRANTES: ARAMI ARZAMENDIA

                            RODRIGO CUEVAS
PATRICIA ENCINA
                            CECILIA ESPINOLA
                            MONSERRAT GIMENEZ
                            GUNHYUNG LEE
                            
 a) Indicar la traducción realizada: telemedicina a telemedicine
b) Indique nº de referencias recuperadas en la estrategia de búsqueda
inicial: 37.740 resultados
c) Realice cada uno de los siguientes filtros e indique el número de
referencias encontradas en cada uno:
d) (Ir realizando los filtros sin sacar el anterior)
● Free full text (gratuito): 12.802 resultados
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● Seleccione humanos: 8.529 resultados

Liste los primeros cinco artículos recuperados con su resumen, con el

último filtro realizado. BUSCAR SUS PALABRAS CLAVES EN EL TITULO.

1. Telemedicine for Developing Countries. A Survey and Some Design

Issues

Carlo Combi, Gabriele Pozzani, Giuseppe Pozzi

Affiliations expand

PMID: 27803948 PMCID: PMC5228142 DOI: 10.4338/ACI-2016-06-R-0089

Free PMC article

Abstract

Background: Developing countries need telemedicine applications that help in

many situations, when physicians are a small number with respect to the
population, when specialized physicians are not available, when patients and
physicians in rural villages need assistance in the delivery of health care.
Moreover, the requirements of telemedicine applications for developing
countries are somewhat more demanding than for developed countries. Indeed,
further social, organizational, and technical aspects need to be considered for
successful telemedicine applications in developing countries.

Objective: We consider all the major projects in telemedicine, devoted to

developing countries, as described by the proper scientific literature. On the
basis of such literature, we want to define a specific taxonomy that allows a
proper classification and a fast overview of telemedicine projects in developing
countries. Moreover, by considering both the literature and some recent direct
experiences, we want to complete such overview by discussing some design
issues to be taken into consideration when developing telemedicine software
systems.

Methods: We considered and reviewed the major conferences and journals in

depth, and looked for reports on the telemedicine projects.

Results: We provide the reader with a survey of the main projects and systems,
from which we derived a taxonomy of features of telemedicine systems for
developing countries. We also propose and discuss some classification criteria
for design issues, based on the lessons learned in this research area.

Conclusions: We highlight some challenges and recommendations to be

considered when designing a telemedicine system for developing countries.

Keywords: Telemedicine; developing countries; medical records.

2. Cost-utility and cost-effectiveness studies of telemedicine,

electronic, and mobile health systems in the literature: a systematic
review

Isabel de la Torre-Díez , Miguel López-Coronado, Cesar Vaca, Jesús Saez

Aguado, Carlos de Castro

Affiliations expand

PMID: 25474190 PMCID: PMC4312789 DOI: 10.1089/tmj.2014.0053

Free PMC article

Abstract

Objective: A systematic review of cost-utility and cost-effectiveness research

works of telemedicine, electronic health (e-health), and mobile health (m-health)
systems in the literature is presented.

Materials and methods: Academic databases and systems such as PubMed,

Scopus, ISI Web of Science, and IEEE Xplore were searched, using different
combinations of terms such as "cost-utility" OR "cost utility" AND "telemedicine,"
"cost-effectiveness" OR "cost effectiveness" AND "mobile health," etc. In the
articles searched, there were no limitations in the publication date.

Results: The search identified 35 relevant works. Many of the articles were
reviews of different studies. Seventy-nine percent concerned the cost-
effectiveness of telemedicine systems in different specialties such as
teleophthalmology, telecardiology, teledermatology, etc. More articles were
found between 2000 and 2013. Cost-utility studies were done only for
telemedicine systems.

Conclusions: There are few cost-utility and cost-effectiveness studies for e-

health and m-health systems in the literature. Some cost-effectiveness studies
demonstrate that telemedicine can reduce the costs, but not all. Among the
main limitations of the economic evaluations of telemedicine systems are the
lack of randomized control trials, small sample sizes, and the absence of quality
data and appropriate measures.

Keywords: business administration/economics; e-health; mobile health;

telemedicine.

3. Application of Ethics for Providing Telemedicine Services and

Information Technology

Mostafa Langarizadeh , Fatemeh Moghbeli , Ali Aliabadi

Affiliations expand

PMID: 29284905 PMCID: PMC5723167 DOI: 10.5455/medarh.2017.71.351-355

Free PMC article

Abstract

Introduction: Advanced technology has increased the use of telemedicine and

Information Technology (IT) in treating or rehabilitating diseases. An increased
use of technology increases the importance of the ethical issues involved. The
need for keeping patients' information confidential and secure, controlling a
number of therapists' inefficiency as well as raising the quality of healthcare
services necessitates adequate heed to ethical issues in telemedicine provision
Aim: The goal of this review is gathering all articles that are published through 5
years until now (2012-2017) for detecting ethical issues for providing
telemedicine services and Information technology. The reason of this time is
improvement of telemedicine and technology through these years. This article is
important for clinical practice and also to world, because of knowing ethical
issues in telemedicine and technology are always important factors for
physician and health providers.

Material and methods: the required data in this research were derived from
published electronic sources and credible academic articles published in such
databases as PubMed, Scopus and Science Direct. The following key words
were searched for in separation and combination: tele-health, telemedicine,
ethical issues in telemedicine. A total of 503 articles were found. After excluding
the duplicates (n= 93), the titles and abstracts of 410 articles were skimmed
according to the inclusion criteria. Finally, 64 articles remained. They were
reviewed in full text and 36 articles were excluded. At the end, 28 articles were
chosen which met our eligibility criteria and were included in this study.

Results: Ethics has been of a great significance in IT and telemedicine

especially the Internet since there are more chances provided for accessing
information. It is, however, accompanied by a threat to patients' personal
information. Therefore, suggestions are made to investigate ethics in
technology, to offer standards and guidelines to therapists. Due to the
advancement in technology, access to information has become simpler than the
past. This has prompted hackers to seize the opportunity.

Discussion: This research shows that the ethical issues in telemedicine can be
investigated from several aspects like technology, doctor-patient relationship,
data confidentiality and security, informed consent, patient's and family's
satisfaction with telemedicine services. Following ethical issues in telemedicine
is a primary aspect of high quality services. In other words, if therapists abide by
ethical rules, they can provide better services for patients. Attention to ethical
issues in telemedicine guarantees a safer use of the services.

Keywords: Ethics; Information Technology; Technology; Tele-health;

Telemedicine.
 4. Telemedicine Technologies for Diabetes in Pregnancy: A
Systematic Review and Meta-Analysis

Wai-Kit Ming ,Lucy H Mackillop , Andrew J Farmer , Lise Loerup , Katy Bartlett ,
Jonathan C Levy , Lionel Tarassenko , Carmelo Velardo , Yvonne Kenworthy ,
Jane E Hirst

Affiliations expand

PMID: 27829574 PMCID: PMC5121530 DOI: 10.2196/jmir.6556

Free PMC article

Abstract

Background: Diabetes in pregnancy is a global problem. Technological

innovations present exciting opportunities for novel approaches to improve
clinical care delivery for gestational and other forms of diabetes in pregnancy.

Objective: To perform an updated and comprehensive systematic review and

meta-analysis of the literature to determine whether telemedicine solutions offer
any advantages compared with the standard care for women with diabetes in
pregnancy.

Methods: The review was developed using the Preferred Reporting Items for
Systematic Reviews and Meta-Analyses (PRISMA) framework. Randomized
controlled trials (RCT) in women with diabetes in pregnancy that compared
telemedicine blood glucose monitoring with the standard care were identified.
Searches were performed in SCOPUS and PubMed, limited to English
language publications between January 2000 and January 2016. Trials that met
the eligibility criteria were scored for risk of bias using the Cochrane
Collaborations Risk of Bias Tool. A meta-analysis was performed using Review
Manager software version 5.3 (Nordic Cochrane Centre, Cochrane
Collaboration).

Results: A total of 7 trials were identified. Meta-analysis demonstrated a

modest but statistically significant improvement in HbA1c associated with the
use of a telemedicine technology. The mean HbA1c of women using
telemedicine was 5.33% (SD 0.70) compared with 5.45% (SD 0.58) in the
standard care group, representing a mean difference of -0.12% (95% CI -0.23%
to -0.02%). When this comparison was limited to women with gestational
diabetes mellitus (GDM) only, the mean HbA1c of women using telemedicine
was 5.22% (SD 0.70) compared with 5.37% (SD 0.61) in the standard care
group, mean difference -0.14% (95% CI -0.25% to -0.04%). There were no
differences in other maternal and neonatal outcomes reported.

Conclusions: There is currently insufficient evidence that telemedicine

technology is superior to standard care for women with diabetes in pregnancy;
however, there was no evidence of harm. No trials were identified that assessed
patient satisfaction or cost of care delivery, and it may be in these areas where
these technologies may be found most valuable.

Keywords: diabetes mellitus; meta-analysis; pregnancy; pregnancy in

diabetics; review; telemedicine.

©Wai-Kit Ming, Lucy H Mackillop, Andrew J Farmer, Lise Loerup, Katy Bartlett,
Jonathan C Levy, Lionel Tarassenko, Carmelo Velardo, Yvonne Kenworthy,
Jane E Hirst. Originally published in the Journal of Medical Internet Research
(http://www.jmir.org), 09.11.2016

5. Remote Patient Monitoring and Telemedicine in Neonatal and

Pediatric Settings: Scoping Literature Review

Farzan Sasangohar 1, Elise Davis , Bita A Kash , Sohail R Shah

Affiliations expand

PMID: 30573451 PMCID: PMC6320401 DOI: 10.2196/jmir.9403

Free PMC article

Abstract

Background: Telemedicine and telehealth solutions are emerging rapidly in

health care and have the potential to decrease costs for insurers, providers, and
patients in various settings. Pediatric populations that require specialty care are
disadvantaged socially or economically or have chronic health conditions that
will greatly benefit from results of studies utilizing telemedicine technologies.
This paper examines the emerging trends in pediatric populations as part of a
systematic literature review and provides a scoping review of the type, extent,
and quantity of research available.

Objective: This paper aims to examine the role of remote patient monitoring
(RPM) and telemedicine in neonatal and pediatric settings. Findings can be
used to identify strengths, weaknesses, and gaps in the field. The identification
of gaps will allow for interventions or research to improve health care quality
and costs.

Methods: A systematic literature review is being conducted to gather an

adequate amount of relevant research for telehealth in pediatric populations.
The fields of RPM and telemedicine are not yet very well established by the
health care services sector, and definitions vary across health care systems;
thus, the terms are not always defined similarly throughout the literature. Three
databases were scoped for information for this specific review, and 56 papers
were included for review.

Results: Three major telemedicine trends emerged from the review of 45

relevant papers-RPM, teleconsultation, and monitoring patients within the
hospital, but without contact-thus, decreasing the likelihood of infection or other
adverse health effects.

Conclusions: While the current telemedicine approaches show promise,

limited studied conditions and small sample sizes affect generalizability,
therefore, warranting further research. The information presented can inform
health care providers of the most widely implemented, studied, and effective
forms of telemedicine for patients and their families and the telemedicine
initiatives that are most cost efficient for health systems. While the focus of this
review is to summarize some telehealth applications in pediatrics, we have also
presented research studies that can inform providers about the importance of
data sharing of remote monitoring data between hospitals. Further reports will
be developed to inform health systems as the systematic literature review
continues.

Keywords: neonatal; pediatric; remote patient monitoring; telehealth;

telemedicine.
©Farzan Sasangohar, Elise Davis, Bita A Kash, Sohail R Shah. Originally
published in the Journal of Medical Internet Research (http://www.jmir.org),
20.12.2018.