Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017

Claudio F Donner, Jonathan Raskin, Richard ZuWallack, Linda Nici, Nicolino Ambrosino, Bruno Balbi, Felicity Blackstock, Richard Casaburi, Michael Dreher, Tanja Effing, Roger Goldstein, Jerry Krishnan, Suzanne C Lareau, Barry J Make, Francois Maltais, Paula Meek, Michael Morgan, Jean-Louis Pépin, Chiara Rabbito, Carolyn L RochesterAdam R Silverman, Sally Singh, Martijn A Spruit, Michele Vitacca, Loreen Williams

Research output: Contribution to journalReview article

Abstract

This report is a summary of a workshop focusing on using telemedicine to facilitate the integrated care of chronic obstructive pulmonary disease (COPD). Twenty-five invited participants from 8 countries met for one and one-half days in Stresa, Italy on 7-8 September 2017, to discuss this topic. Participants included physiotherapists, nurses, a nurse practitioner, and physicians. While evidence-based data are always at the center of sound inference and recommendations, at this point in time the science behind telemedicine in COPD remains under-developed; therefore, this document reflects expert opinion and consensus. While telemedicine has great potential to expand and improve the care of our COPD patients, its application is still in its infancy. While studies have demonstrated its effectiveness in some patient-centered outcomes, the results are by no means consistently positive. Whereas this tool may potentially reduce health care costs by moving some medical interventions from centralized locations in to patient's home, its cost-effectiveness has had mixed results and telemonitoring has yet to prove its worth in the COPD population. These discordant results should not be unexpected in view of patient complexity and the heterogeneity of telemedicine. This is reflected in the very limited support offered by the National Health Services to a wider application of telemedicine in the integrated care of COPD patients. However, this situation should challenge us to develop the necessary science to clarify the role of telemedicine in the medical management of our patients, providing a better and definitive scientific basis to this approach.

Original languageEnglish
Pages (from-to)91-102
Number of pages12
JournalRespiratory Medicine
Volume143
DOIs
Publication statusPublished - Oct 2018

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Telemedicine
Chronic Obstructive Pulmonary Disease
Italy
Education
Nurse Practitioners
Physical Therapists
Expert Testimony
National Health Programs
Health Care Costs
Cost-Benefit Analysis
Nurses
Physicians
Population

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Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017. / Donner, Claudio F; Raskin, Jonathan; ZuWallack, Richard; Nici, Linda; Ambrosino, Nicolino; Balbi, Bruno; Blackstock, Felicity; Casaburi, Richard; Dreher, Michael; Effing, Tanja; Goldstein, Roger; Krishnan, Jerry; Lareau, Suzanne C; Make, Barry J; Maltais, Francois; Meek, Paula; Morgan, Michael; Pépin, Jean-Louis; Rabbito, Chiara; Rochester, Carolyn L; Silverman, Adam R; Singh, Sally; Spruit, Martijn A; Vitacca, Michele; Williams, Loreen.

In: Respiratory Medicine, Vol. 143, 10.2018, p. 91-102.

Research output: Contribution to journalReview article

Donner, CF, Raskin, J, ZuWallack, R, Nici, L, Ambrosino, N, Balbi, B, Blackstock, F, Casaburi, R, Dreher, M, Effing, T, Goldstein, R, Krishnan, J, Lareau, SC, Make, BJ, Maltais, F, Meek, P, Morgan, M, Pépin, J-L, Rabbito, C, Rochester, CL, Silverman, AR, Singh, S, Spruit, MA, Vitacca, M & Williams, L 2018, 'Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017', Respiratory Medicine, vol. 143, pp. 91-102. https://doi.org/10.1016/j.rmed.2018.09.003
Donner, Claudio F ; Raskin, Jonathan ; ZuWallack, Richard ; Nici, Linda ; Ambrosino, Nicolino ; Balbi, Bruno ; Blackstock, Felicity ; Casaburi, Richard ; Dreher, Michael ; Effing, Tanja ; Goldstein, Roger ; Krishnan, Jerry ; Lareau, Suzanne C ; Make, Barry J ; Maltais, Francois ; Meek, Paula ; Morgan, Michael ; Pépin, Jean-Louis ; Rabbito, Chiara ; Rochester, Carolyn L ; Silverman, Adam R ; Singh, Sally ; Spruit, Martijn A ; Vitacca, Michele ; Williams, Loreen. / Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017. In: Respiratory Medicine. 2018 ; Vol. 143. pp. 91-102.
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abstract = "This report is a summary of a workshop focusing on using telemedicine to facilitate the integrated care of chronic obstructive pulmonary disease (COPD). Twenty-five invited participants from 8 countries met for one and one-half days in Stresa, Italy on 7-8 September 2017, to discuss this topic. Participants included physiotherapists, nurses, a nurse practitioner, and physicians. While evidence-based data are always at the center of sound inference and recommendations, at this point in time the science behind telemedicine in COPD remains under-developed; therefore, this document reflects expert opinion and consensus. While telemedicine has great potential to expand and improve the care of our COPD patients, its application is still in its infancy. While studies have demonstrated its effectiveness in some patient-centered outcomes, the results are by no means consistently positive. Whereas this tool may potentially reduce health care costs by moving some medical interventions from centralized locations in to patient's home, its cost-effectiveness has had mixed results and telemonitoring has yet to prove its worth in the COPD population. These discordant results should not be unexpected in view of patient complexity and the heterogeneity of telemedicine. This is reflected in the very limited support offered by the National Health Services to a wider application of telemedicine in the integrated care of COPD patients. However, this situation should challenge us to develop the necessary science to clarify the role of telemedicine in the medical management of our patients, providing a better and definitive scientific basis to this approach.",
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T1 - Incorporating telemedicine into the integrated care of the COPD patient a summary of an interdisciplinary workshop held in Stresa, Italy, 7-8 September 2017

AU - Donner, Claudio F

AU - Raskin, Jonathan

AU - ZuWallack, Richard

AU - Nici, Linda

AU - Ambrosino, Nicolino

AU - Balbi, Bruno

AU - Blackstock, Felicity

AU - Casaburi, Richard

AU - Dreher, Michael

AU - Effing, Tanja

AU - Goldstein, Roger

AU - Krishnan, Jerry

AU - Lareau, Suzanne C

AU - Make, Barry J

AU - Maltais, Francois

AU - Meek, Paula

AU - Morgan, Michael

AU - Pépin, Jean-Louis

AU - Rabbito, Chiara

AU - Rochester, Carolyn L

AU - Silverman, Adam R

AU - Singh, Sally

AU - Spruit, Martijn A

AU - Vitacca, Michele

AU - Williams, Loreen

N1 - Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

PY - 2018/10

Y1 - 2018/10

N2 - This report is a summary of a workshop focusing on using telemedicine to facilitate the integrated care of chronic obstructive pulmonary disease (COPD). Twenty-five invited participants from 8 countries met for one and one-half days in Stresa, Italy on 7-8 September 2017, to discuss this topic. Participants included physiotherapists, nurses, a nurse practitioner, and physicians. While evidence-based data are always at the center of sound inference and recommendations, at this point in time the science behind telemedicine in COPD remains under-developed; therefore, this document reflects expert opinion and consensus. While telemedicine has great potential to expand and improve the care of our COPD patients, its application is still in its infancy. While studies have demonstrated its effectiveness in some patient-centered outcomes, the results are by no means consistently positive. Whereas this tool may potentially reduce health care costs by moving some medical interventions from centralized locations in to patient's home, its cost-effectiveness has had mixed results and telemonitoring has yet to prove its worth in the COPD population. These discordant results should not be unexpected in view of patient complexity and the heterogeneity of telemedicine. This is reflected in the very limited support offered by the National Health Services to a wider application of telemedicine in the integrated care of COPD patients. However, this situation should challenge us to develop the necessary science to clarify the role of telemedicine in the medical management of our patients, providing a better and definitive scientific basis to this approach.

AB - This report is a summary of a workshop focusing on using telemedicine to facilitate the integrated care of chronic obstructive pulmonary disease (COPD). Twenty-five invited participants from 8 countries met for one and one-half days in Stresa, Italy on 7-8 September 2017, to discuss this topic. Participants included physiotherapists, nurses, a nurse practitioner, and physicians. While evidence-based data are always at the center of sound inference and recommendations, at this point in time the science behind telemedicine in COPD remains under-developed; therefore, this document reflects expert opinion and consensus. While telemedicine has great potential to expand and improve the care of our COPD patients, its application is still in its infancy. While studies have demonstrated its effectiveness in some patient-centered outcomes, the results are by no means consistently positive. Whereas this tool may potentially reduce health care costs by moving some medical interventions from centralized locations in to patient's home, its cost-effectiveness has had mixed results and telemonitoring has yet to prove its worth in the COPD population. These discordant results should not be unexpected in view of patient complexity and the heterogeneity of telemedicine. This is reflected in the very limited support offered by the National Health Services to a wider application of telemedicine in the integrated care of COPD patients. However, this situation should challenge us to develop the necessary science to clarify the role of telemedicine in the medical management of our patients, providing a better and definitive scientific basis to this approach.

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DO - 10.1016/j.rmed.2018.09.003

M3 - Review article

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VL - 143

SP - 91

EP - 102

JO - Respiratory Medicine

JF - Respiratory Medicine

SN - 0954-6111

ER -