Last updated August 29, 2026
Key finding
Differences between treatment groups were small and non-significant for health scores.
This study evaluated telemedicine follow-up care for diabetes-related foot ulcers compared to standard outpatient care, finding no significant differences in outcomes.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Extended (5–20+ y)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated telemedicine follow-up care for diabetes-related foot ulcers compared to standard outpatient care, finding no significant differences in outcomes.
Understanding the effectiveness of telemedicine in managing diabetes-related complications is crucial, especially as healthcare increasingly shifts towards remote care. This study suggests that while telemedicine may be convenient, it does not necessarily lead to better health outcomes compared to traditional care.
The effectiveness of the interventions was unclear due to non-significant differences. The study may have limited generalizability to broader populations. Sample size and demographic diversity were not specified.
Published in
Publication details and source links for this paper.
Marjolein MI, Jannicke I, Hilde S, et al. Telemedicine Follow-Up Care for Diabetes-Related Foot Ulcers: A Cluster Randomized Controlled Trial. BMC Endocrine Disorders. 2020;20:157. doi:10.1186/s12902-020-00637-x
Self-reported health scores showed no significant differences between telemedicine and standard care.
Well-being scores were similar across both treatment groups.
Quality of life measures did not differ significantly between the two interventions.
Diabetes-related distress scores were comparable in both groups.
Evidence network
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This study contributes evidence to Telephone Follow-Up and Change in self-reported perceived health status, Diabetes distress scores, Improvement in Well-Being, and 1 more.
This study contributes evidence to
Primary intervention
Telephone Follow-Up
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
2
Related topics
4
Evidence pairs
168
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Related evidence
Evidence topic
Save evidence
Core evidence
The primary outcomes reported in this study.
Telephone Follow-Up → Change in self-reported perceived health status
Telephone Follow-Up → Change in self-reported perceived health status
Telephone Follow-Up → Diabetes distress scores
Telephone Follow-Up → Diabetes distress scores
Telephone Follow-Up → Improvement in Well-Being
Telephone Follow-Up → Improvement in Well-Being
Evidence Library
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Telephone Follow-Up and Diabetes Distress Measures, Telephone Follow-Up and Quality of Life Outcomes.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Diabetes Distress Measures
Measures Diabetes Distress Measures as a key outcome.
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
All studies on Telephone Follow-Up
Contributes to Telephone Follow-Up evidence base.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Current evidence does not show a clear benefit of Telephone Follow-Up for change in self-reported perceived health status.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Change in self-reported perceived health status
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Telephone Follow-Up for diabetes distress scores.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes distress scores
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Telephone Follow-Up for improvement in well-being.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Improvement in Well-Being
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Telephone Follow-Up for quality of life.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Quality of life
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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