Quality of life at 13 weeks may improve as seen in SGRQ total score (mean difference ‐9.70, 95% CI ‐18.32 to ‐1.08 38 participants low certainty) but not at 26 or 52 weeks (very low certainty). Very uncertain evidence suggests that multi‐component interventions may have little to no effect on the number of people experiencing exacerbations at 52 weeks. Multi‐component interventions with remote monitoring or consultation component (11 studies, 2165 participants) There may be no difference in effects on the number of people admitted to hospital (very low certainty) or on deaths (very low certainty). There may be little to no effect on dyspnoea symptoms on the CRQ‐SAS at 26 weeks (low certainty). There may be little to no effect on quality of life (SGRQ total at 17 weeks, or CAT at 38 and 52 weeks very low certainty). Very uncertain evidence suggests that remote monitoring may result in little to no effect on the number of people experiencing exacerbations at 41 weeks (odds ratio 1.02, 95% CI 0.67 to 1.55). Remote monitoring alone (10 studies, 2456 participants) We found no evidence for dyspnoea symptoms or adverse events. There may be little to no difference in deaths between intervention and usual care (very low certainty). COPD‐related hospital re‐admissions are probably reduced at 26 weeks (hazard ratio 0.42, 95% confidence interval (CI) 0.19 to 0.93 106 participants moderate certainty). There may be little to no difference in effect on quality of life (SGRQ) at 26 weeks (very low to low certainty) or on hospitalisation (all‐cause or COPD‐related very low certainty).
#REMOTE BUDDY 1.16.2 PLUS#
Very uncertain evidence suggests that remote monitoring plus usual care may have little to no effect on the number of people experiencing exacerbations at 26 weeks or 52 weeks. Remote monitoring plus usual care (8 studies, 1033 participants) We found no evidence on comparison of remote consultations with or without usual care. Studies were at high risk of bias due to lack of blinding, and certainty of evidence ranged from moderate to very low. Only five interventions transferred data and allowed review by health professionals in real time (synchronous).
#REMOTE BUDDY 1.16.2 PROFESSIONAL#
Most remote monitoring interventions required participants to transfer measurements using a remote device and later health professional review (asynchronous).
We included 29 studies in the review (5654 participants male proportion 36% to 96% female proportion 4% to 61%).
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