Remote Patient Monitoring: An Important Tool in Advancing Home Dialysis

Whitlow, Michael; Wallace, Eric

doi:10.1016/j.xkme.2019.10.002

Cited by 12 publications

(10 citation statements)

References 7 publications

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“…Dedicated software linking patient registries in hemodialysis, collection of ePROMs for remote patient monitoring and measures of patient satisfaction may thus be used to ease and improve routine care as well as clinical and epidemiological research [41].…”

Section: Discussionmentioning

confidence: 99%

Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France

Guerraoui¹,

Prézelin-Reydit

Kolko

et al. 2021

BMC Nephrol

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Background Kidney failure with replacement therapy and hemodialysis are associated with a decrease in quality of life (QOL). Self-reported QOL symptoms are not always prioritized by the medical team, potentially leading to conflicting priorities with patients. Electronic patient-reported outcome measures (ePROMs) allow physicians to better identify these symptoms. The objective was to describe the prevalence of symptoms self-reported by hemodialysis (HD) patients. Methods A multicenter cross-sectional study was conducted in three HD centers. Patients were included if they were 18 years old or over treated with HD for at least 3 months in a center. Data were collected by the patient via a self-administered ePROMs questionnaire. Data included patient characteristics, post-dialysis fatigue and intensity, recovery time after a session, perceived stress, impaired sleep the day before the dialysis session, current state of health and the change from the past year. A multivariate analysis was conducted to identify relations between symptoms. Results In total, we included 173 patients with a mean age of 66.2 years, a mean ± SD hemodialysis duration of 48.9 ± 58.02 months. The prevalence of fatigue was 72%. 66% had a high level of stress (level B or C). Recovery time was more than 6 h after a HD session for 25% of patients and 78% declared they had a better or unchanged health status than the previous year. Sleep disturbance was associated with cardiovascular comorbidities (OR 5.08 [95% CI, 1.56 to 16.59], p = 0.007). Conclusions Fatigue and stress were the main symptoms reported by HD patients. The patient’s care teams should better consider these symptoms.

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Section: Discussionmentioning

confidence: 99%

Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France

Guerraoui¹,

Prézelin-Reydit

Kolko

et al. 2021

BMC Nephrol

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“…36 This often results in clinicians steering patients toward in-center dialysis even if they are potential candidates for home dialysis. 36 Despite evidence that shared decision-making between nephrologists and patients allows for mutual agreement, a survey study of nephrologists demonstrated that there are varied approaches to decision-making related to dialysis. 37 Another issue is the phenomenon of "crashing into dialysis," in which patients are referred late to the nephrology clinic when they are in imminent need of dialysis.…”

Section: Patient Empowerment and Educationmentioning

confidence: 99%

“…41 Compounding this challenge is the paternalistic attitude of some hospitals and clinicians, assuming limited patient understanding about dialysis and that patients cannot effectively dialyze at home. 42 This often results in clinicians steering patients toward in-center dialysis even if they are potential candidates for home dialysis. 42 Despite evidence that shared decision making between nephrologists and patients allows for mutual agreement, a survey study of nephrologists demonstrated that there are varied approaches to decision making related to dialysis.…”

Section: Patient Empowerment and Educationmentioning

confidence: 99%

“… 42 This often results in clinicians steering patients toward in-center dialysis even if they are potential candidates for home dialysis. 42 Despite evidence that shared decision making between nephrologists and patients allows for mutual agreement, a survey study of nephrologists demonstrated that there are varied approaches to decision making related to dialysis. 43 …”

Section: Patient Empowerment and Educationmentioning

confidence: 99%

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Expanding Utilization of Home Dialysis: An Action Agenda From the First International Home Dialysis Roundtable

et al. 2021

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Telemedicine allows remote contact between patients and health professionals to improve adherence to the hemodialysis regimen and allow patients to feel connected to health professionals [ 3 ]. In addition, telemedicine is an excellent tool for monitoring treatment, adjusting medications, answering questions and providing continuing education to patients and health professionals [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the experience with the use of telemedicine in a home dialysis program—a qualitative and quantitative study

2022

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Introduction Assisted home hemodialysis is a therapeutic modality for patients diagnosed with end-stage renal disease who require dialysis replacement therapy and have concomitant health limitations that prevent them from attending a satellite dialysis unit or performing their own treatment. Objective The main objective of this study was to evaluate whether telemedicine provided through telemonitoring can improve the ongoing relationship between the doctor, the nurse and the patient. Method This prospective longitudinal, qualitative and quantitative study analyzes the impact of telemedicine through an evaluation of the experiences of patients and nurses. During the study, we performed remote weekly monitoring for 6 months. Results A total of 17 patients and 12 nurses were included. We observed that the patients and nurses had positive experiences with telemonitoring and highlighted feelings of being cared for and improved confidence, although they indicated that telemonitoring does not replace face-to-face visits. Conclusion Telemonitoring is a useful tool to increase satisfaction with and confidence in home hemodialysis.

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Remote Patient Monitoring: An Important Tool in Advancing Home Dialysis

Cited by 12 publications

References 7 publications

Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France

Patient-reported outcome measures in hemodialysis patients: results of the first multicenter cross-sectional ePROMs study in France

Expanding Utilization of Home Dialysis: An Action Agenda From the First International Home Dialysis Roundtable

Evaluation of the experience with the use of telemedicine in a home dialysis program—a qualitative and quantitative study

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