Role of telemedicine in kidney transplant recipient in COVID 19 era

Kute, VivekB; Gupta, Vaibhav; Patel, HimanshuV; Banerjee, Subho; Engineer, DivyeshP; Meshram, HariShankar; Navadia, Vijay; Patel, AnsyH

doi:10.4103/ijot.ijot_154_20

Cited by 2 publications

(6 citation statements)

References 18 publications

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“…A detailed explanation of the inclusion/exclusion process can be found in Figure 17 (PRISMA fig). A total of 12 studies [50][51][52][53][54][55][56][57][58][59][60][61] were conducted in the adult population, and 1 study focused on children 62 with a total of 2216 telehealth consultations. As there were a limited number of studies with consistent outcomes measures of telehealth, pooled analysis could not be performed.…”

Section: Telehealth In Solid Organ Transplant Recipient Resultsmentioning

confidence: 99%

“…As there were a limited number of studies with consistent outcomes measures of telehealth, pooled analysis could not be performed. Overall, there were 4/13 studies that reported high medical adherence rate (>70%), [50][51][52]61 6/13 studies reported excellent or high satisfaction rates from both patients and physicians, [53][54][55][56]60,62 and 2/13 studies highlighted the ability to obtain accurate BP, weight, and other measurements (77.45%). 57,63 With most consultation appointments able to be conducted virtually, only a handful of patients needed in-person followup visitations, specifically 33/197 patients (two studies).…”

Section: Telehealth In Solid Organ Transplant Recipient Resultsmentioning

confidence: 99%

“…Thirteen studies focused on the delivery of post‐transplant care by telehealth suggest increased medical adherence, higher satisfaction rates, and increased ability to obtain measurements (weight, BP, etc.) 50–58,61–63,81 . Telehealth has been shown to facilitate creation of an enduring long‐term relationship between patients and physicians, which can promote self‐management, increased flexibility in healthcare, and thus better individualized care resulting in higher medical adherence rates 82 …”

Section: Discussionmentioning

confidence: 99%

“…Most health centers used telehealth in post‐transplant care for immunosuppressant medication adherence, waitlist evaluation, and monitoring of health status. There were significant improvements in all categories, as multiple studies reported increased medication adherence, improved quality and efficiency in transplant waitlist evaluation, and more efficient health status monitoring 50,51,55,57,61,63 …”

Section: Discussionmentioning

confidence: 99%

“…Thirteen studies focused on the delivery of post-transplant care by telehealth suggest increased medical adherence, higher satisfaction rates, and increased ability to obtain measurements (weight, BP, etc.). [50][51][52][53][54][55][56][57][58][61][62][63]81 Telehealth has been shown to facilitate creation of an enduring long-term relationship between patients and physicians, which can promote self-management, increased flexibility in healthcare, and thus better individualized care resulting in higher medical adherence rates. 82 According to a survey performed on patients experiencing telemedicine as a consultation choice, patients appeared satisfied with the level of privacy during the consultation and with the quality of professional patient health care.…”

Section: Weightmentioning

confidence: 99%

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The effects of COVID‐19 on pediatric and adult solid organ transplant recipients and the emergence of telehealth

Raina

Shah

Marks

et al. 2023

Pediatric Transplantation

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Background The SARS‐CoV‐2 pandemic and corresponding acute respiratory syndrome have affected all populations and led to millions of deaths worldwide. The pandemic disproportionately affected immunocompromised and immunosuppressed adult patients who had received solid organ transplants (SOTs). With the onset of the pandemic, transplant societies across the world recommended reducing SOT activities to avoid exposing immunosuppressed recipients. Due to the risk of COVID‐19‐related outcomes, SOT providers adapted the way they deliver care to their patients, leading to a reliance on telehealth. Telehealth has helped organ transplant programs continue treatment regimens while protecting patients and physicians from COVID‐19 transmission. This review highlights the adverse effects of COVID‐19 on transplant activities and summarizes the increased role of telehealth in the management of solid organ transplant recipients (SOTRs) in both pediatric and adult populations. Methods A comprehensive systematic review and meta‐analysis were conducted to accentuate the outcomes of COVID‐19 and analyze the efficacy of telehealth on transplant activities. This in‐depth examination summarizes extensive data on the clinical detriments of COVID‐19 in transplant recipients, advantages, disadvantages, patient/physician perspectives, and effectiveness in transplant treatment plans via telehealth. Results COVID‐19 has caused an increase in mortality, morbidity, hospitalization, and ICU admission in SOTRs. Telehealth efficacy and benefits to both patients and physicians have increasingly been reported. Conclusions Developing effective systems of telehealth delivery has become a top priority for healthcare providers during the COVID‐19 pandemic. Further research is necessary to validate the effectiveness of telehealth in other settings.

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