<p>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, <i>p</i> = 0.44) and postoperative BMI loss (MD − 0.29, <i>p</i> = 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.</p>

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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

  • Gabriela Sousa de Oliveira,
  • Ruanda Pereira Maia,
  • Patrícia Borges Botelho Gamba,
  • Ana Claudia Morais Godoy Figueiredo,
  • Kênia Mara Baiocchi de Carvalho

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.