EHealth Technologies in Inflammatory Bowel Disease: A Systematic Review.

摘要: Background and Aims: Electronic-health technologies (eHealth) such as Web-based interventions, virtual clinics, smart-phone applications, telemedicine are being used to manage patients with inflammatory bowel disease (IBD). We aimed to: (1) Evaluate the impact of eHealth on conventional clinical indices patient-reported outcome measures (PROs) in IBD; (2) assess effectiveness, cost-effectiveness feasibility using facilitate self-management individuals IBD, and; (3) provide recommendations for their design optimal use patient care. Methods: Relevant publications were identified via a literature search, 17 selected based predefined quality parameters. Results: Six randomized controlled trials nine observational studies utilizing IBD identified. Compared standard outpatient-led care, have led improvements in: Relapse duration [( n = 1) 18 days vs 77 days, p < 0.001]; activity ( 2); short-term medication adherence 3); life 4); knowledge healthcare costs number acute visits outpatient clinic due symptoms 1), facilitating remote management up 20% an cohort 2). Methodological shortcomings include heterogeneity measures, lack clinician/patient input, validation against PROs, limited cost–benefit analyses. Conclusions: EHealth potential promoting reducing growing burden health care resource utilization. A theoretical framework should be applied development, implementation, evaluation interventions.