American journal of cardiovascular disease
Effect of clinical telemonitoring on treatment adherence in patients with heart failure: protocol for a systematic review of clinical trials
By Clemente RE, Neto OPA, Camargo YDS and 3 others.
Abstract
Objectives
To evaluate the effectiveness of telemonitoring on clinical outcomes in adult patients with heart failure, with an emphasis on treatment adherence, mortality, and hospital readmission, through a systematic review and meta-analysis of randomized clinical trials.
Methods
This is a systematic review protocol developed in accordance with the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and reported following the PRISMA-P guidelines. The protocol was registered on the PROSPERO platform (CRD420251181047). Randomized clinical trials evaluating telemonitoring interventions in adults with heart failure and reduced (HFrEF) or preserved (HFpEF) left ventricular ejection fraction will be included. Searches will be conducted in the MEDLINE (PubMed), Cochrane CENTRAL, Embase, Scopus, Web of Science, LILACS, CINAHL, and PsycINFO databases, without language or publication date restrictions. Two independent reviewers will perform study selection, data extraction, and risk of bias assessment using the RoB 2.0 tool. The certainty of evidence will be assessed using the GRADE approach. When appropriate, data will be synthesized through meta-analysis using a random-effects model.
