Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic

Huuskes, Brooke; Scholes‐Robertson, Nicole; Guha, Chandana; Baumgart, Amanda; Wong, Germaine; Kanellis, John; Chadban, Steve; Barraclough, Katherine A.; Viecelli, Andrea K.; Hawley, Carmel; Kerr, Peter G.; Coates, Patrick Toby; Amir, Noa; Tong, Allison

doi:10.1111/tri.13934

Cited by 19 publications

(53 citation statements)

References 31 publications

(32 reference statements)

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“…A total of eight studies published between August 2010 and August 2021 were included in this scoping review. Two studies used a cross‐sectional design (Alshaer et al, 2020; Campbell et al, 2012), two used a mixed‐methods design (Lunney et al, 2021; Qiu et al, 2021), and four used a qualitative design (Huuskes et al, 2021, Lunney et al, 2020; Trace et al, 2020; Varsi et al, 2021). The studies were conducted in the United Kingdom, Canada, Australia, and Norway.…”

Section: Resultsmentioning

confidence: 99%

“…The benefits of remote consultations for patients were identified in seven studies included in this review. The most widely reported benefit was the convenience of remote consultations (Alshaer et al, 2020; Huuskes et al, 2021; Lunney et al, 2020; Qiu et al, 2021; Varsi et al, 2021). Participants reported that video consultations reduced the burden of appointment waiting time and time spent travelling.…”

Section: Resultsmentioning

confidence: 99%

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Patient perspectives and experiences of remote consultations in people receiving kidney care: A scoping review

Ewart

Baharani

Wilkie

et al. 2022

Journal of Renal Care

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Background: The coronavirus disease 2019 (COVID-19) pandemic resulted in a rapid and sometimes chaotic change in how clinical care was delivered for people living with kidney disease, with increased reliance on digital technologies and the introduction of remote services. Objectives: To conduct a scoping review of studies about patients' experiences and perspectives in receipt of remote consultations for kidney care. Design: Using Arksey and O'Malley's framework, three databases were searched on EBSCO (CINAHL, MEDLINE and Psych INFO). The search included studies published in English from August 2010 to August 2021.Results: Eight studies met the scoping review criteria (two cross-sectional, two mixed-method and four qualitative). Five themes were identified: overall satisfaction with remote services, benefits to patients (convenience, involvement in care and patient safety), barriers to remote consultations (technical difficulties, digital literacy and loss of interpersonal communication), patient concerns (need for physical examination, privacy and confidentiality) and prerequisites for successful remote care (existing patient-practitioner relationship, stable illness phase and access to technology). Conclusion:Remote consultations confer multiple advantages to patients; therefore, remote consultations should be offered as an option to patients living with kidney disease beyond the COVID-19 pandemic. However, there are several barriers to remote consultation that need to be addressed and understood before implementing remote care long-term. Future research should examine the impact of remote consultations on people living with kidney disease from under-served groups to identify barriers and ensure their suitability and accessibility to the wider population for a more patient-centred approach to kidney care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient perspectives and experiences of remote consultations in people receiving kidney care: A scoping review

Ewart

Baharani

Wilkie

et al. 2022

Journal of Renal Care

View full text Add to dashboard Cite

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Section: Psychological Impact Of the Pandemic On Patients And Staffmentioning

confidence: 99%

“…222 Despite this, half of kidney transplant recipients worried more about their health and a third wanted to postpone hospital appointments to minimize their risk of COVID-19, 222,223 noting the benefits of telehealth. 224 For patients on the waiting list, the suspension of transplant programs left some feeling disappointed and helpless with concerns their health could deteriorate. 225 Although most patients were in favor of waiting list reactivation, this was not universal, highlighting the need for individualized discussions as the pandemic picture evolves.…”

Section: Psychological Impact Of the Pandemic On Patients And Staffmentioning

confidence: 99%

The Global Impact of COVID-19 on Solid Organ Transplantation: Two Years Into a Pandemic

et al. 2022

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The coronavirus disease 2019 (COVID-19) pandemic has had a major global impact on solid organ transplantation (SOT). An estimated 16% global reduction in transplant activity occurred over the course of 2020, most markedly impacting kidney transplant and living donor programs, resulting in substantial knock-on effects for waitlisted patients. The increased severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection risk and excess deaths in transplant candidates has resulted in substantial effort to prioritize the safe restart and continuation of transplant programs over the second year of the pandemic, with transplant rates returning towards prepandemic levels. Over the past 2 y, COVID-19 mortality in SOT recipients has fallen from 20%–25% to 8%–10%, attributed to the increased and early availability of SARS-CoV-2 testing, adherence to nonpharmaceutical interventions, development of novel treatments, and vaccination. Despite these positive steps, transplant programs and SOT recipients continue to face challenges. Vaccine efficacy in SOT recipients is substantially lower than the general population and SOT recipients remain at an increased risk of adverse outcomes if they develop COVID-19. SOT recipients and transplant teams need to remain vigilant and ongoing adherence to nonpharmaceutical interventions appears essential. In this review, we summarize the global impact of COVID-19 on transplant activity, donor evaluation, and patient outcomes over the past 2 y, discuss the current strategies aimed at preventing and treating SARS-CoV-2 infection in SOT recipients, and based on lessons learnt from this pandemic, propose steps the transplant community could consider as preparation for future pandemics.

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“…Australian patients also report that the telephone has mainly been used for telehealth appointments [ 17 , 18 ] with this also true for cancer appointments [ 10 , 19 ]. Despite the greater use of the telephone, Australian surveys have shown that patients generally accept telehealth, appreciating it as a strategy for reducing risks during the COVID-19 pandemic [ 10 , 17 , 20 , 21 ]. However, the lack of a physical examination [ 1 , 22 ] and concerns regarding its impersonal nature are noted as barriers and reasons why many patients say they will return to in-person appointments [ 10 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Telehealth cancer care consultations during the COVID-19 pandemic: a qualitative study of the experiences of Australians affected by cancer

White

Bastable

Solo

et al. 2022

Support Care Cancer

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Background In response to the onset of the COVID-19 pandemic, telehealth was rapidly rolled out in health services across Australia including those delivering cancer care. This study aimed to understand people with cancer and carers’ experiences with telehealth for cancer care during the COVID-19 pandemic and associated restrictions. Method Semi-structured interviews conducted with people with cancer and carers via telephone or online video link between December 2020 and May 2021. Participants were recruited through cancer networks and social media. Interviews were transcribed and thematic analysis undertaken. Results Twenty-three patients and 5 carers were interviewed. Telephone-based appointments were most common. Responses to telehealth were influenced by existing relationships with doctors, treatment/cancer stage and type of appointment. Four themes were derived: (i) benefits, (ii) quality of care concerns, (iii) involving carers, and (iv) optimising use of telehealth. Benefits included efficiency and reduced travel. Quality of care concerns identified subthemes: transactional feel to appointments; difficulties for rapport; suitability for appointment type and adequacy for monitoring. Both patients and carers noted a lack of opportunity for carers to participate in telephone-based appointments. Aligning appointment mode (i.e. telehealth or in person) with appointment purpose and ensuring telehealth was the patient’s choice were seen as essential for its ongoing use. Discussion and conclusions While telehealth has benefits, its potential to reduce the quality of interactions with clinicians made it less attractive for cancer patients. Patient-centred guidelines that ensure patient choice, quality communication, and alignment with appointment purpose may help to increase telehealth’s utility for people affected by cancer.

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Kidney transplant recipient perspectives on telehealth during the COVID‐19 pandemic

Cited by 19 publications

References 31 publications

Patient perspectives and experiences of remote consultations in people receiving kidney care: A scoping review

Patient perspectives and experiences of remote consultations in people receiving kidney care: A scoping review

The Global Impact of COVID-19 on Solid Organ Transplantation: Two Years Into a Pandemic

Telehealth cancer care consultations during the COVID-19 pandemic: a qualitative study of the experiences of Australians affected by cancer

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