Open AccessAdvanced Telemedicine Training and Clinical Outcomes in Type II Diabetes: A Pilot Study
Author(s) -
Colton B. Merrill,
Jason M. Roe,
Kevin D. Seely,
Benjamin Rix Brooks
Publication year - 2022
Publication title -
telemedicine reports
Language(s) - English
Resource type - Journals
ISSN - 2692-4366
DOI - 10.1089/tmr.2021.0039
Subject(s) - telemedicine , medicine , body mass index , inclusion and exclusion criteria , glycated hemoglobin , retrospective cohort study , type 2 diabetes , telehealth , diabetes mellitus , health care , alternative medicine , pathology , endocrinology , economics , economic growth
Background: COVID-19 caused a dramatic increase in the scope and utilization of telemedicine. However, the sustainability of the permanent integration of telemedicine in the management of chronic disease beyond the pandemic is still enigmatic. The purpose of this retrospective chart review was to analyze the effect of advanced training in telemedicine on clinical outcomes in type II diabetes mellitus (T2DM) in the United States. Methods: A retrospective chart review was conducted in 104 deidentified patients with diabetes from 28 specialized telemedicine agency physicians who had received specialized telemedicine training. After establishing exclusion criteria, the charts of 59 T2DM patients were evaluated. Glycated hemoglobin (HbA1c) percentage and body mass index (BMI) were used as quantitative endpoints. Visit consistency, mediation data, and compliance data were also studied. Results: The mean change in HbA1c for the 42 patients who met the inclusion criteria for evaluating HbA1c ( n = 42) was -0.429%. The largest decrease in HbA1c was 5.4%, and the most significant increase was 3.9%. The mean change in BMI for the 16 patients who met the inclusion criteria for evaluating BMI ( n = 16) was -2.175 kg/m 2 . The largest decrease in BMI was 9.5 kg/m 2 and the largest increase was +0.7 kg/m 2 . The average number of visits for patients with a decrease in HbA1c was 3.45. The average number of visits for patients with an increase in HbA1c was 2.62. Conclusions: Outcomes of telemedicine providers with training are comparable with the standard of care. Advanced telemedicine training and its effect on clinical outcomes in the management of chronic disease warrant further investigation. For telemedicine to become a mainstay in U.S. medicine, a standard of best practices should be evaluated and available for providers who wish to continue telehealth care delivery.