title: Patient perspective on remote monitoring of cardiovascular implantable electronic devices: rationale and design of the REMOTE-CIED study.
abstract: BACKGROUND
  Remote patient monitoring is a safe and effective alternative for the in-clinic follow-up of patients with cardiovascular implantable electronic devices (CIEDs). However, evidence on the patient perspective on remote monitoring is scarce and inconsistent.
  
  
  OBJECTIVE
  The primary objective of the REMOTE-CIED study is to evaluate the influence of remote patient monitoring versus in-clinic follow-up on patient-reported outcomes. Secondary objectives are to: 1) identify subgroups of patients who may not be satisfied with remote monitoring; and 2) investigate the cost-effectiveness of remote monitoring.
  
  
  METHODS
  The REMOTE-CIED study is an international randomised controlled study that will include 900 consecutive heart failure patients implanted with an implantable cardioverter defibrillator (ICD) compatible with the Boston Scientific LATITUDE® Remote Patient Management system at participating centres in five European countries. Patients will be randomised to remote monitoring or in-clinic follow-up. The In-Clinic group will visit the outpatient clinic every 3-6 months, according to standard practice. The Remote Monitoring group only visits the outpatient clinic at 12 and 24 months post-implantation, other check-ups are performed remotely. Patients are asked to complete questionnaires at five time points during the 2-year follow-up.
  
  
  CONCLUSIONS
  The REMOTE-CIED study will provide insight into the patient perspective on remote monitoring in ICD patients, which could help to support patient-centred care in the future.
authors.affiliation: Department of Cardiology, University Medical Center Utrecht, PO Box 85500, 3508 GA, Utrecht, the Netherlands, h.versteeg-4@umcutrecht.nl.
authors.forename: H
authors.initials: H
authors.lastname: Versteeg
authors.forename: S S
authors.initials: SS
authors.lastname: Pedersen
authors.forename: M H
authors.initials: MH
authors.lastname: Mastenbroek
authors.forename: W K
authors.initials: WK
authors.lastname: Redekop
authors.forename: J O
authors.initials: JO
authors.lastname: Schwab
authors.forename: P
authors.initials: P
authors.lastname: Mabo
authors.forename: M
authors.initials: M
authors.lastname: Meine