Telehealth in Nephrology Care—Promises and Challenges

Hailey, David

doi:10.1053/j.ajkd.2016.04.008

Cited by 6 publications

(8 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…28 With a 12-month study duration, there was no significant difference between groups for the primary composite outcome of death, hospitalization, emergency department (ED) visit, and nursing home admission. 24,28 The study findings failed to show a benefit to aggressive monitoring and management, even with successful patient participation (only 3.8% failed complete the year of monitoring). However, it is important to note that the evidence for the effectiveness of aggressive CKD management is relatively limited.…”

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 83%

“…23 Other studies in the CKD population have incorporated interactive elements to better engage patients, but have not necessarily shown significant improvement in outcomes. 24 …”

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 99%

“…Additionally, the authors have pointed out that control group participants may have received more aggressive therapy than expected through new Veteran Affairs (VA) initiatives starting at the time of the study and limiting the potential treatment effect of the intervention. 24,28 One important limitation to this study was the monitoring system had to be used at home with restricted mobility due to the larger size of the required device. This is in contrast to an application using a smartphone application or an IVRS as discussed below.…”

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 99%

“…Additionally, high costs would be necessary to implement the intervention making a negative or marginal positive outcome from the study a weak justification for broad dissemination. 24,28 …”

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 99%

See 3 more Smart Citations

Telemedicine to Promote Patient Safety: Use of Phone-Based Interactive Voice-Response System to Reduce Adverse Safety Events in Pre-dialysis CKD

Weiner

Fink

2017

Advances in Chronic Kidney Disease

View full text Add to dashboard Cite

Chronic kidney disease (CKD) patients have several features conferring upon them a high risk of adverse safety events, which are defined as incidents with unintended harm related to processes of care or medications. These characteristics include impaired renal function, polypharmacy, and frequent health system encounters. The consequences of such events in CKD can include new or prolonged hospitalization, accelerated renal function loss, acute kidney injury, end-stage renal disease and death. Health information technology administered via telemedicine presents opportunities for CKD patients to remotely communicate safety-related findings to providers for the purpose of improving their care. However, many CKD patients have limitations which hinder their use of telemedicine and access to the broad capabilities of health information technology. In this review we summarize previous assessments of the pre-dialysis CKD populations’ proficiency in using telemedicine modalities and describe the use of interactive voice-response system (IVRS) to gauge the safety phenotype of the CKD patient. We discuss the potential for expanded IVRS use in CKD to address the safety threats inherent to this population.

show abstract

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 83%

“…23 Other studies in the CKD population have incorporated interactive elements to better engage patients, but have not necessarily shown significant improvement in outcomes. 24 …”

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 99%

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 99%

Section: Promise and Limitations Of Telemedicine In Ckdmentioning

confidence: 99%

See 2 more Smart Citations

Telemedicine to Promote Patient Safety: Use of Phone-Based Interactive Voice-Response System to Reduce Adverse Safety Events in Pre-dialysis CKD

Weiner

Fink

2017

Advances in Chronic Kidney Disease

View full text Add to dashboard Cite

show abstract

“…As expected, telemedicine provided time and cost savings when compared to usual care, with positive results in participants' satisfaction and only a little increase in staff hours expended, related to telemedicine 4 . It also proved to improve blood glucose control in diabetic patients and to a lesser degree, blood pressure control in hypertension patients, two of the most frequent chronic conditions associated to CKD 5 .…”

Section: By Idalina Beirãomentioning

confidence: 99%

Nephrology and intervention in the community – On the need for improving the interplay between nephrology centers and primary care in Portugal

Beirão¹,

Almeida

2019

pjnh

View full text Add to dashboard Cite

Chronic kidney disease is increasing in prevalence, especially among older people. The development of integrated strategies between primary health care and hospital care is crucial to curb the growth of this pathology, already considered a public health problem. Telemedicine approaches the different levels of care and creates a great confidence in managing CKD in the community, with a beneficial and real patient-centered care. Other strategies that lead to empowerment of the primary care medical doctors should also be considered. This manuscript summarizes some of these aspects and lists the benefits of its implementation in Portugal.

show abstract