Belinda Jackson|Kathleen Gray|Sandra R. Knowles|Peter De Cruz
EHealth Technologies in Inflammatory Bowel Disease: A Systematic Review
University of Melbourne|Austin Hospital|University of Melbourne|St Vincent's Hospital|Royal Melbourne Hospital|Swinburne University of Technology|University of Melbourne|University of Melbourne|Austin Hospital
electronichealth technologies ehealth webbased interventions virtual clinics smartphone applications telemedicine used manage patients inflammatory bowel disease ibd aimed 1 evaluate impact ehealth technologies conventional clinical indices patientreported outcome measures pros ibd 2 assess effectiveness costeffectiveness feasibility using ehealth technologies facilitate selfmanagement individuals ibd 3 provide recommendations design optimal use patient carerelevant publications identified via literature search 17 publications selected based predefined quality parameterssix randomized controlled trials nine observational studies utilizing ehealth technologies ibd identified compared standard outpatientled care ehealth technologies led improvements relapse duration n 1 18 days vs 77 days p 0001 disease activity n 2 shortterm medication adherence n 3 quality life n 4 ibd knowledge n 2 healthcare costs n 4 number acute visits outpatient clinic due ibd symptoms n 1 facilitating remote management 20 ibd cohort n 2 methodological shortcomings ehealth studies include heterogeneity outcome measures lack clinicianpatient input lack validation conventional clinical indices pros limited costbenefit analysesehealth technologies potential promoting selfmanagement reducing impact growing burden ibd health care resource utilization theoretical framework applied development implementation evaluation ehealth interventions