Telemedicine in Palliative Care: A Systematic Review and Meta-Analysis of Quality of Life, Symptom Control, and Healthcare Utilisation, with Exploratory Analysis of Artificial Intelligence
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| Natura: | Recurso digital |
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Zenodo
2026
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| _version_ | 1866901117602889728 |
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| author | Mühleder, Roland Karl Amudov, Georgi Kostadinov Mühleder, Maria Gabriela |
| author_facet | Mühleder, Roland Karl Amudov, Georgi Kostadinov Mühleder, Maria Gabriela |
| contents | <p>Background:<br>Palliative care access remains limited globally, with fewer than 14% of patients receiving adequate services. Telemedicine has emerged as a potential solution to address structural barriers.</p> <p>Methods:<br>A systematic review and meta-analysis of studies published between 2015 and 2025 was conducted. Pooled analyses were restricted to randomized controlled trials (RCTs), while other study designs were included for narrative synthesis.</p> <p>Results:<br>Fifty-two studies (~14,200 patients) were included; pooled analyses were restricted to 18 RCTs. Telemedicine significantly improved quality of life (SMD 0.29, 95% CI 0.11–0.47). Symptom burden (SMD −0.27) and caregiver burden (SMD −0.22) were reduced, and emergency department visits decreased (RR 0.68). AI models demonstrated good predictive performance but lacked prospective validation.</p> <p>Conclusion:<br>Telemedicine improves key clinical outcomes in palliative care and represents a scalable solution to current access limitations. AI applications remain investigational and require prospective validation.</p> <p>Keywords: <br>palliative care; telemedicine; telehealth; digital health; meta-analysis; artificial intelligence</p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_19319599 |
| institution | Zenodo |
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| publishDate | 2026 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Telemedicine in Palliative Care: A Systematic Review and Meta-Analysis of Quality of Life, Symptom Control, and Healthcare Utilisation, with Exploratory Analysis of Artificial Intelligence Mühleder, Roland Karl Amudov, Georgi Kostadinov Mühleder, Maria Gabriela <p>Background:<br>Palliative care access remains limited globally, with fewer than 14% of patients receiving adequate services. Telemedicine has emerged as a potential solution to address structural barriers.</p> <p>Methods:<br>A systematic review and meta-analysis of studies published between 2015 and 2025 was conducted. Pooled analyses were restricted to randomized controlled trials (RCTs), while other study designs were included for narrative synthesis.</p> <p>Results:<br>Fifty-two studies (~14,200 patients) were included; pooled analyses were restricted to 18 RCTs. Telemedicine significantly improved quality of life (SMD 0.29, 95% CI 0.11–0.47). Symptom burden (SMD −0.27) and caregiver burden (SMD −0.22) were reduced, and emergency department visits decreased (RR 0.68). AI models demonstrated good predictive performance but lacked prospective validation.</p> <p>Conclusion:<br>Telemedicine improves key clinical outcomes in palliative care and represents a scalable solution to current access limitations. AI applications remain investigational and require prospective validation.</p> <p>Keywords: <br>palliative care; telemedicine; telehealth; digital health; meta-analysis; artificial intelligence</p> |
| title | Telemedicine in Palliative Care: A Systematic Review and Meta-Analysis of Quality of Life, Symptom Control, and Healthcare Utilisation, with Exploratory Analysis of Artificial Intelligence |
| url | https://doi.org/10.5281/zenodo.19319599 |