Telemedicine interventions for hypertension management in low- and middle-income countries: A scoping review
Why the study?
Hypertension disproportionately impacts patients in LMICs, and evidence on whether telemedicine interventions improve blood pressure management and clinical outcomes in these settings needed summarization.
Do telemedicine interventions improve blood pressure in patients with hypertension in low- and middle-income countries?
Population
14 studies of patients with hypertension in LMICs
Comparison
Telemedicine interventions vs comparator groups
Design
Scoping review
Authors
Discussion
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Member takes
Implication
Telemedicine may aid BP control in LMIC hypertension; extends mostly positive findings but requires confirmatory RCTs.
Structured PICO
Do telemedicine interventions improve blood pressure in patients with hypertension in low- and middle-income countries?
P
Population
Patients with hypertension in low- and middle-income countries (LMICs) (14 studies included)
I
Intervention
Telemedicine interventions (patient-provider behavioral counseling, patient-provider medical management, or provider-provider consultation technologies)
C
Comparator
Standard care or non-telemedicine control (implied by between-arm differences)
O
Outcome
Systolic or diastolic blood pressuresurrogate
Telemedicine interventions show promise for reducing blood pressure in LMICs, but high-quality clinical trials are needed to establish their definitive impact.
Limitations
- small sample sizes
- short duration
- intervention heterogeneity
Cite This Study
Hoffer-Hawlik et al. (2021) studied this question.