The Clinical Impact of Electronic Patient‐Reported Outcome Measures in the Remote Monitoring of Inflammatory Arthritis: A Systematic Review and Meta‐analysis
Pooled result · Disease activityResult — go to the resultSMD −0.15 95% CI −0.27 to −0.03Authors' conclusion
Most studies were at high risk of bias with significant heterogeneity in design, but our results suggest there is an advantage in using ePROM monitoring in patients with IAs, with the potential for reduction in health care resource use without detrimental impact in disease outcomes.
Study context
- Population
- Patients with inflammatory arthritis (seven studies in RA)
- Participants
- 4,473 patients8 studies
- Comparison
- ePROM remote monitoring vs control
- Outcome
- Disease activity
Methodological detailsRisk of Bias-2 tool, ROBINS-I, Most studies at high risk of bias with significant heterogeneity in design
- Risk of Bias-2 tool
- ROBINS-I
- Most studies at high risk of bias with significant heterogeneity in design
Pooled result
As reported in the abstract
SMD
−0.15
95% CI −0.27 to −0.03
ePROMvs Control
SMD −0.15 (95% CI −0.27 to −0.03)
Further pooled results
| Outcome | OR for remission/low disease activity (95% CI) | |
|---|---|---|
| Remission/low disease activity rates | 1.65 (1.02–2.68) | |
| 0.20.5125OR for remission/low disease activity (log scale) |
| Outcome | SMD (95% CI) | |
|---|---|---|
| Face to face visits | −0.93 (−2.14-0.28) | |
| −3−2−101Difference (linear scale) |
- Remission/low disease activity rates: five of eight studies provided additional combined interventions (e.g., disease education)
Remission/low disease activity rates
- Rates of remission/low disease activity higher in ePROM group vs control
Face to face visits
- Fewer face to face visits needed in the remote ePROM group
Original publication
The Clinical Impact of Electronic Patient‐Reported Outcome Measures in the Remote Monitoring of Inflammatory Arthritis: A Systematic Review and Meta‐analysis. Arthritis Rheumatol. Published 18 September 2023. doi:10.
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