Is Telemedicine as Effective as Face-to-Face Care to Patients with Health Outcomes of Metabolic and Bariatric Surgery? Results from a Systematic Review and Meta-analysis
摘要
This study aimed to review the effectiveness of clinical treatment delivered via teleconsultation, guided by a healthcare professional, compared to face-to-face care for individuals at any period of metabolic and bariatric surgery. A total of 3701 studies were identified from searches across seven databases, with nine studies included in the qualitative synthesis and six in the meta-analysis. Teleconsultation demonstrated comparable outcomes to face-to-face care regarding adherence rates (OR 1.17, p = 0.44) and postoperative BMI loss (MD − 0.29, p = 0.87), suggesting that teleconsultation may be an equally effective and viable alternative to in-person treatment. However, the low level of evidence due to the high risk of bias underscores the need for further high-quality studies to confirm these findings.