Outcomes of telehealth care for lung transplant recipients

Sidhu, Aman; Chaparro, Cecilia; Chow, Chung‐Wai; Davies, M.; Singer, Lianne G.

doi:10.1111/ctr.13580

Cited by 17 publications

(12 citation statements)

References 14 publications

(23 reference statements)

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“…The economic cost of telehealth may be much less than that of traditional in‐person care. 34 , 35 One study compared the cost of telehealth to in‐person postoperative visits which included the cost of travel, accommodations, meals, and missed work. 34 For patients who lived at least 1635 miles away round trip, telehealth visits had a cost savings of $1501 per visit.…”

Section: Resultsmentioning

confidence: 99%

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Acceleration of mobile health for monitoring post‐transplant in the COVID‐19 era: Applications for pediatric settings

Campagna

Tutino

Stevanovic

et al. 2021

Pediatric Transplantation

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Background Since the start of the COVID‐19 pandemic and consequent lockdowns, the use of telehealth interventions has rapidly increased both in the general population and among transplant recipients. Among pediatric transplant recipients, this most frequently takes the form of interventions on mobile devices, or mHealth, such as remote visits via video chat or phone, phone‐based monitoring, and mobile apps. Telehealth interventions may offer the opportunity to provide care that minimizes many of the barriers of in‐person care. Methods The present review followed the PRISMA guidelines. Sources up until October 2020 were initially identified through searches of PsycInfo ® and PubMed ® . Results We identified ten papers that reported findings from adult interventions and five studies based in pediatrics. Eight of the adult publications stemmed from the same two trials; within the pediatric subset, this was the case for two papers. Studies that have looked at mHealth interventions have found high acceptability rates over the short run, but there is a general lack of data on long‐term use. Conclusions The literature surrounding pediatric trials specifically is sparse with all findings referencing interventions that are in early stages of development, ranging from field tests to small feasibility trials. The lack of research highlights the need for a multi‐center RCT that utilizes robust measures of medication adherence and other outcome variables, with longer‐term follow‐up before telehealth interventions should be fully embraced.

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Section: Resultsmentioning

confidence: 99%

“…Another study of lung transplant recipients in Canada found that the average cost of telehealth visits was CAD $30 (USD $25) versus CAD $263 (USD $216) for in‐person visits. 35 …”

Section: Resultsmentioning

confidence: 99%

Acceleration of mobile health for monitoring post‐transplant in the COVID‐19 era: Applications for pediatric settings

Campagna

Tutino

Stevanovic

et al. 2021

Pediatric Transplantation

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“…Usual clinic workflow was modified to adapt to VH (Table 1) Virtual health care has been shown to be effective for management of a number of conditions including lung transplant follow-up. 2,3 However, concerns with privacy continue to be a consideration, as does the inability for physicians to physically examine the patient, which may lead to suboptimal care. While this has not been demon-…”

Section: Necessity Is the Mother Of Invention: Rapid Implementation Omentioning

confidence: 99%

Necessity is the mother of invention: Rapid implementation of virtual health care in response to the COVID‐19 pandemic in a lung transplant clinic

Wright

Partovi

Levy

2020

Clinical Transplantation

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“…12 Post-transplant lung patients have been followed using telehealth and actually had improved outcomes compared with the standard group, which may suggest higher complexity in those patients seen in person. 13 Finally, the Iowa VA medical centre has also seen patients post-kidney transplant using VC and reports that each stable, post-operative patient that can be seen via VC rather than fly from Puerto Rico saves these patients 2210 miles in travel distance and the VA a cost of $1150 per patient. 14 Telemedicine has been shown to improve access and provide cost-savings in paediatric nephrology patients, who are often referred for transplant evaluation.…”

Section: Discussionmentioning

confidence: 99%

Implementation of telehealth is associated with improved timeliness to kidney transplant waitlist evaluation

et al. 2017

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Introduction The United States Department of Veterans Affairs (VA) National Transplant Program has made efforts to improve access by introducing Web-based referrals and telehealth. The aims of this study were to describe the programmatic implementation and evaluate the effectiveness of new technology on the timeliness to kidney transplant evaluation at a VA medical centre. Methods Between 1 January 2009 and 31 May 2016, 835 patients were approved for evaluation. Monthly data were summarized as: number of applications, median days to evaluation, and median percentage of evaluations that occurred within 30 days. Temporal trends were analysed using non-parametric comparisons of medians between three eras: Pre Web-based submission, Web-based submission, and Web-based submission with videoconference (VC) telehealth. Results The number of applications did not vary between eras ( p = 0.353). The median time to evaluation and the median percentage of patients with appointments within 30 days improved significantly in the Web-based submission with VC era when compared with the Web-based and Pre Web-based eras (37 vs. 260 and 116 days, respectively, p < 0.001; 100% vs. 8% and 0%, respectively, p < 0.001). Discussion We have been able to markedly improve the timeliness to kidney transplant waitlist evaluation with the addition of telehealth.

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Outcomes of telehealth care for lung transplant recipients

Cited by 17 publications

References 14 publications

Acceleration of mobile health for monitoring post‐transplant in the COVID‐19 era: Applications for pediatric settings

Acceleration of mobile health for monitoring post‐transplant in the COVID‐19 era: Applications for pediatric settings

Necessity is the mother of invention: Rapid implementation of virtual health care in response to the COVID‐19 pandemic in a lung transplant clinic

Implementation of telehealth is associated with improved timeliness to kidney transplant waitlist evaluation

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