1. A Systematic Review And Meta-Analysis Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

2. It is not known if and how cellular phone based technologies improve outcomes in what concerns the monitoring of chronic diseases and the relation between patients and caregivers. Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

3. Background Increasing frequency Improvement of the relationship between the doctor and patients Promotion of an healthier behavior Self-care promotion Information exchange and emotional support Management of the demand for health services Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

4. Aims Investigate if cellular phone based technologies can help patients in the process of monitoring their illnesses Analyze if these technologies improve clinical outcomes Verify the feasibility and usability of these technologies Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

5. Methods Systematic Review and Meta-Analysis Scientific Article as the unit of analysis Databases: PubMed, AtoZ, UpToDate, ISI Web of Knowledge, Google Scholar and SCOPUS Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

6. Expected Results It is possible that patients have evaluated these technologies positively. Professionals may have some doubts about their benefits. Mobile phone based technologies may be costly. Some patients may show some difficulties due to their weak familiarity with cellular phone use, age or level of education. Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

7. Keywords Cellular Phone Monitoring, Physiologic Chronic Diseases Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

8. Basic concepts Monitoring Chronic diseases Cellular phone-based Technology Fig.1_Basic concepts Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

9. Patient with chronic diseases or victims of aggressive and toxic treatments Quickly communication of symptoms Healthcare professional Communication of adapted treatment Fig.2 _ The use of cellular phone-based technologies Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

10. This technology is becoming more common can provide a direct link between patient and caregiver improvement of the quality of life It is still costly Can cause difficulties in its use due to weak familiarity Chronic patients Victims of aggressive/toxic treatments But… Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

11. In order to solve our problem, we will use… Unity of analyze Studies related to the application of cellular phone based-technologies to patients with chronic diseases Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

12. Increasing interest Worth exploring subject Need to sum up the published studies Cellular phone-based technologies for monitoring Pacients with Chronic Diseases New monitoring and communication technologies available Need to determine if its use can really improve medical results Fig.3_ Justification of the study Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

13. Aims Summarization of the available data; Identify in what ways cellular phone-based technologies can improve the monitoring of patients; Verify the feasibility and usability of this technologies; Understand the advantages of these technologies against the usual methods; Analyze clinical outcomes, specially the improvement of quality of life, and economical outcomes. Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

14. Hilary Pinnock, Roger Slack, Claudia Pagliari, David Price, Aziz Sheikh; Understanding the potential role of mobile phone-based monitoring on asthma self-management: qualitative study; Clin Exp Allergy. 2007 May;37(5):794-802; Available at: www.pubmed.pt 26-10-2007.www.pubmed.pt http://www.who.int/en/, Available on 1-11-2007. http://www.who.int/en/ Morak J, Kollmann A, Schreier G; Feasibility and usability of a home monitoring concept based on mobile phones and near field communication (NFC) technology; Medinfo. 2007; 12 (Pt 1):112-6; Available at: www.pubmed.pt 26-10-2007. Morak JKollmann ASchreier G www.pubmed.pt Huong Q. Nguyen, RN, PhD, Seth Wolpin, RN, PhD, Kuan-Chun Chiang, BSN, DorAnne Cuenco, RN, PhD, and Virginia Carrieri-Kohlman, RN, DNSc; Exercise and Symptom Monitoring with a Mobile Device; AMIA Annu Symp Proc. 2006; 2006: 1047; Available at: www.pubmed.pt 26-10-2007.www.pubmed.pt Kovacs F, Horvath C, Torok M, Hosszu G.; Fetal breathing transmission in phonocardiographic monitoring telemedicine systems; Conf Proc IEEE Eng Med Biol Soc. 2006; 1: 5226-9; Available at: www.pubmed.pt 26- 10-2007. Kovacs FHorvath CTorok MHosszu Gwww.pubmed.pt Spaniel F, Vohlídka P, Hrdlička J, Kožený J, Novák T, Motlová L, Cermák J, Bednařík J, Novák D, Höschl C.; ITAREPS: Information Technology Aided Relapse Prevention Programme in Schizophrenia; Schizophr Res. 2007 Oct; Available at: www.pubmed.pt 26-10-2007. Spaniel FVohlídka PHrdlička JKožený JNovák TMotlová LCermák JBednařík JNovák DHöschl Cwww.pubmed.pt Boland, Peter PhD; Quality Management and Measurement; Journal of Ambulatory Care Management 30(2):126-33, April/June 2007. Available at: www.pubmed.pt 26-10-2007.www.pubmed.pt Jun BG, Park KS, Kim SS, Park MS, Kim KA, Lee TS, Cha EJ.; Miniatured blood glucose measurement module interfaced with cellular phone; Studies in Health Technology and Informatics, Volume 122, 2006; Available at: www.pubmed.pt 26-10-2007. Jun BGPark KSKim SSPark MSKim KALee TSCha EJwww.pubmed.pt Weaver A, Young AM, Rowntree J, Townsend N, Pearson S, Smith J, Gibson O, Cobern W, Larsen M, Tarassenko L.; Application of mobile phone technology for managing chemotherapy-associated side-effects, Ann Oncology 2007 Oct 5. Available at: www.pubmed.pt 26-10-2007. Weaver AYoung AMRowntree JTownsend NPearson SSmith JGibson OCobern WLarsen M Tarassenko Lwww.pubmed.pt Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3

15. Alexandra Azevedo Ana Luísa Graça Ana Luísa Pardilhó Ana Sofia Lisboa Ana Sofia Pessoa Diogo Miguel Fernando Sá Joana Cunha Maycoll Vieira Pedro Lopes Pedro Souteiro Sara Coelho Susana Carrilho Prof. Doutor João A. FonsecaIntrodução à Medicina ITurma 3