The impacts of telemedicine on assisted reproduction: a systematic review and meta-analysis

Huy Phuong Tran, Nam Nhat Nguyen, Nguyen Tuong Ho, Thuy Thi Thanh Tran, Loc Thai Ly, Tuyet Thi Diem Hoang, Dung Thi Phuong Le, Chii Ruey Tzeng, Van Toi Vo, Le Giang Tran

研究成果: 雜誌貢獻回顧型文獻同行評審

1 引文 斯高帕斯(Scopus)

摘要

Telemedicine is being applied in assisted reproduction technology (ART) to provide remote consultations, monitoring and support for patients. This study aimed to evaluate the potential advantages of telemedicine in ART treatment in the form of virtual consultations. Studies in which patients were using telemedicine during ART treatment were identified from four scientific databases (PudMed, EMBASE, Scopus, Web of Science). The success of fertility treatments was compared between telemedicine and in-office care, and patient satisfaction with ART through telemedicine was assessed. Eleven studies, comprising 4697 patients, were identified. Quality assessment (Joanna Briggs Institute Critical Appraisal and revised Cochrane risk-of-bias tools) revealed an acceptable risk of bias for both randomized controlled trials and observational studies. Using a fixed-effects model, telemedicine was comparable to in-person care regarding the pregnancy rate achieved (odds ratio 1.02, 95% confidence intervals 0.83–1.26, P = 0.83). A Q-test suggested that all the included studies were homogeneous. Patients who received telemedicine during fertility treatment reported a high level of satisfaction (91%, 95% confidence intervals 80–96%). Egger's test confirmed that no publication bias was found. Telemedicine could serve as a complementary tool during fertility treatment to facilitate patients’ satisfaction and overcome some practical problems without compromising treatment outcomes. Future studies should continue exploring the potential applications of telemedicine in assisted reproduction.
原文英語
文章編號103752
期刊Reproductive BioMedicine Online
48
發行號5
DOIs
出版狀態已發佈 - 5月 2024

ASJC Scopus subject areas

  • 生殖醫學
  • 婦產科
  • 發展生物學

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