Dipping at home: is it better, easier, and more convenient? A feasibility and acceptability study of a novel home urinalysis using a smartphone application

Erez, Daniella Levy; Derwick, Hannah; Furth, Susan L.; Ballester, Lance; Omuemu, Stephanie; Adiri, Yonathan; Mink, Jonah

doi:10.1007/s00467-022-05556-8

Cited by 6 publications

(1 citation statement)

References 18 publications

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“…This, in combination with telemedicine, could help to geographically extend pediatric nephrology expertise, to minimize the physical trips required to the larger distanced hospitals. Other technology-based innovations like home urine testing for monitoring proteinuria and mHealth family-self management for post-transplant care have been described in the literature and have high patient and caregiver satisfaction rates [ 69 , 70 ]. Use of novel technologies could allow for hybrid follow-up models for rural CKD patients reducing the frequency of needed trips to local laboratories and distanced medical centers.…”

Section: Strategies For Health Systems Improvement For Rural Patients...mentioning

confidence: 99%

The impact of rural status on pediatric chronic kidney disease

Weidemann

Harshman

2023

Pediatr Nephrol

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Children and adolescents in rural areas with chronic kidney disease (CKD) face unique challenges related to accessing pediatric nephrology care. Challenges to obtaining care begin with living increased distances from pediatric health care centers. Recent trends of increasing centralization of pediatric care mean fewer locations have pediatric nephrology, inpatient, and intensive care services. In addition, access to care for rural populations expands beyond distance and encompasses domains of approachability, acceptability, availability and accommodation, affordability, and appropriateness. Furthermore, the current literature identifies additional barriers to care for rural patients that include limited resources, including finances, education, and community/neighborhood social resources. Rural pediatric kidney failure patients have barriers to kidney replacement therapy options that may be even more limited for rural pediatric kidney failure patients when compared to rural adults with kidney failure. This educational review identifies possible strategies to improve health systems for rural CKD patients and their families: (1) increasing rural patient and hospital/clinic representation and focus in research, (2) understanding and mediating gaps in the geographic distribution of the pediatric nephrology workforce, (3) introducing regionalization models for delivering pediatric nephrology care to geographic areas, and (4) employing telehealth to expand the geographic reach of services and reduce family time and travel burden.

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Section: Strategies For Health Systems Improvement For Rural Patients...mentioning

confidence: 99%

The impact of rural status on pediatric chronic kidney disease

Weidemann

Harshman

2023

Pediatr Nephrol

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Applications of Artificial Intelligence in Urinalysis: Is the Future Already Here?

De Bruyne,

De Kesel,

Oyaert

2023

Clinical Chemistry

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Background Artificial intelligence (AI) has emerged as a promising and transformative tool in the field of urinalysis, offering substantial potential for advancements in disease diagnosis and the development of predictive models for monitoring medical treatment responses. Content Through an extensive examination of relevant literature, this narrative review illustrates the significance and applicability of AI models across the diverse application area of urinalysis. It encompasses automated urine test strip and sediment analysis, urinary tract infection screening, and the interpretation of complex biochemical signatures in urine, including the utilization of cutting-edge techniques such as mass spectrometry and molecular-based profiles. Summary Retrospective studies consistently demonstrate good performance of AI models in urinalysis, showcasing their potential to revolutionize clinical practice. However, to comprehensively evaluate the real clinical value and efficacy of AI models, large-scale prospective studies are essential. Such studies hold the potential to enhance diagnostic accuracy, improve patient outcomes, and optimize medical treatment strategies. By bridging the gap between research and clinical implementation, AI can reshape the landscape of urinalysis, paving the way for more personalized and effective patient care.

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AACC/NKF Guidance Document on Improving Equity in Chronic Kidney Disease Care

Pierre

Marzinke

Ahmed

et al. 2023

The Journal of Applied Laboratory Medicine

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Background Kidney disease (KD) is an important health equity issue with Black, Hispanic, and socioeconomically disadvantaged individuals experiencing a disproportionate disease burden. Prior to 2021, the commonly used estimated glomerular filtration rate (eGFR) equations incorporated coefficients for Black race that conferred higher GFR estimates for Black individuals compared to non-Black individuals of the same sex, age, and blood creatinine concentration. With a recognition that race does not delineate distinct biological categories, a joint task force of the National Kidney Foundation and the American Society of Nephrology recommended the adoption of the CKD-EPI 2021 race-agnostic equations. Content This document provides guidance on implementation of the CKD-EPI 2021 equations. It describes recommendations for KD biomarker testing, and opportunities for collaboration between clinical laboratories and providers to improve KD detection in high-risk populations. Further, the document provides guidance on the use of cystatin C, and eGFR reporting and interpretation in gender-diverse populations. Summary Implementation of the CKD-EPI 2021 eGFR equations represents progress toward health equity in the management of KD. Ongoing efforts by multidisciplinary teams, including clinical laboratorians, should focus on improved disease detection in clinically and socially high-risk populations. Routine use of cystatin C is recommended to improve the accuracy of eGFR, particularly in patients whose blood creatinine concentrations are confounded by processes other than glomerular filtration. When managing gender-diverse individuals, eGFR should be calculated and reported with both male and female coefficients. Gender-diverse individuals can benefit from a more holistic management approach, particularly at important clinical decision points.

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Dipping at home: is it better, easier, and more convenient? A feasibility and acceptability study of a novel home urinalysis using a smartphone application

Cited by 6 publications

References 18 publications

The impact of rural status on pediatric chronic kidney disease

The impact of rural status on pediatric chronic kidney disease

Applications of Artificial Intelligence in Urinalysis: Is the Future Already Here?

AACC/NKF Guidance Document on Improving Equity in Chronic Kidney Disease Care

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