Online Patient Portal Use and Time to Renal Transplantation in Patients on Hemodialysis

Zmijewski, Polina; DeCroce-Movson, Eliza; Reinert, Steven E.; Mallette, Meaghan; Machan, Jason T.; Morrissey, Paul; Osband, Adena J.

doi:10.1016/j.jamcollsurg.2019.11.013

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Future research is needed to enact their recommendations. While patient portals exist and are under development internationally, 44 including in kidney transplant care, 45 we cannot conclude a portal would improve communication, a finding supported by Lockwood et al 46 However, others have identified that improved communication and relationships between recipients and HCP lead to better immunosuppression adherence. 47 Similarly, Reese et al 48 found that electronic pill-bottle monitoring, along with text reminders to kidney transplant recipients and notifications to HCP, resulted in 88% immunosuppression adherence compared with 55% with monitoring alone.…”

Section: Discussionmentioning

confidence: 86%

Designing an App for Immunosuppression Adherence and Communication: A Qualitative Approach

Schick‐Makaroff

Lagendyk²,

Foster

et al. 2022

Can J Kidney Health Dis

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Background: Immunosuppression nonadherence may be the most important factor limiting long-term allograft survival. Objective: Following user-centered design, we explored the essential priorities and preferences of kidney transplant recipients and healthcare providers (HCP) to inform development of a smartphone app to improve immunosuppression adherence and communication. Design: A qualitative descriptive research design was used. Setting: The University of Alberta Hospital adult kidney transplant program in Edmonton, Canada. Participants: Participants were recruited by convenience sampling and included 32 kidney transplant recipients and 11 HCPs. Methods: Seven focus groups (5 with recipients and 2 with HCPs) were conducted to inform app development. Sessions were recorded, and transcripts were coded to elucidate themes. Results: App development to improve adherence was not a priority for HCP. Recipients prioritized choice: that all features be optional. Recipients preferred support while traveling; access to laboratory results; and use by younger or newly transplanted recipients. Both recipients and HCP preferred linkage to pharmacy; and self-management and accountability. For the app to improve communication, HCPs believed the priorities to be addressed included: clarity on scope of app; legal, ethical, and professional obligations; and charting. Both recipients and HCP prioritized HCP workload, and broader medication and health concerns. Healthcare providers preferred tech support; both recipients and HCPs preferred app access for nontransplant HCP. Limitations: Limitations include underrepresentation of physicians, recipients with racial/ethnic diversity, and potential selection bias of transplant recipients who perceived themselves to be adhering to immunosuppression medications. Conclusion: Future research is needed for the app to become a comprehensive, secure platform for broader communication between recipients and HCP, pharmacies, and nontransplant clinicians while streamlining HCP workload.

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Section: Discussionmentioning

confidence: 86%

Designing an App for Immunosuppression Adherence and Communication: A Qualitative Approach

Schick‐Makaroff

Lagendyk²,

Foster

et al. 2022

Can J Kidney Health Dis

View full text Add to dashboard Cite

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“…Patient portals have been associated with increased appointment attendance, 61 decreased healthcare costs 62 and decreased time to kidney transplant. 63…”

Section: Leveraging Technologymentioning

confidence: 99%

Integrating Patient Activation Into Dialysis Care

Hussein

Bennett

Abra

et al. 2022

American Journal of Kidney Diseases

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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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Invited Commentary

Elias¹

2020

Journal of the American College of Surgeons

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Online Patient Portal Use and Time to Renal Transplantation in Patients on Hemodialysis

Cited by 4 publications

References 7 publications

Designing an App for Immunosuppression Adherence and Communication: A Qualitative Approach

Designing an App for Immunosuppression Adherence and Communication: A Qualitative Approach

Integrating Patient Activation Into Dialysis Care

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