de Oliveira Gabriela Sousa, Maia Ruanda Pereira, Gamba Patrícia Borges Botelho, Figueiredo Ana Claudia Morais Godoy, de Carvalho Kênia Mara Baiocchi
University of Brasília, Campus Universitario Darcy Ribeiro, Brasília, 70910900, Brazil.
State University of Campinas, Campinas, Brazil.
Obes Surg. 2025 May;35(5):1864-1877. doi: 10.1007/s11695-025-07792-x. Epub 2025 Mar 19.
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.
本研究旨在回顾在医疗保健专业人员指导下通过远程会诊提供的临床治疗与代谢和减重手术任何阶段的面对面护理相比的有效性。通过对七个数据库的检索共识别出3701项研究，其中九项研究纳入定性综合分析，六项纳入荟萃分析。在依从率（OR 1.17，p = 0.44）和术后体重指数降低（MD -0.29，p = 0.87）方面，远程会诊显示出与面对面护理相当的结果，这表明远程会诊可能是面对面治疗的同等有效且可行的替代方案。然而，由于偏倚风险高，证据水平较低，这突出表明需要进一步的高质量研究来证实这些发现。
