Telenephrology: current perspectives and future directions

Rohatgi, Rajeev; Ross, Michael J.; Majoni, Sandawana William

doi:10.1016/j.kint.2017.06.032

Cited by 37 publications

(31 citation statements)

References 22 publications

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“…Telenephrology has been widely used in Australia for various disease conditions. 15 We established telenephrology as an alternative model of care of delivery of specialist renal care for patients living in rural, regional, and remote areas in the Darling Downs region in Queensland. Our telenephrology model of care showed that specialist renal care could be delivered safely and economically to the population with CKD living 50 km away from the main referral hospital.…”

Section: Discussionmentioning

confidence: 99%

Chronic Kidney Disease, Queensland (CKD.QLD) Registry: Management of CKD With Telenephrology

Venuthurupalli

Rolfe²,

Fanning

et al. 2018

Kidney International Reports

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IntroductionEnabled by the Chronic Kidney Disease, Queensland (CKD.QLD) Registry, we aim to outline the structure, implementation, and outcomes of telenephrology clinics for the management of patients with chronic kidney disease (CKD) in rural, regional, and remote areas of the Darling Downs region in Queensland, Australia.MethodsThis is an observational registry–based study involving adult patients with CKD, attending specialist clinics, and residing ≥50 km away from Toowoomba Hospital. The telenephrology cohort (TC) included those who had their follow-up appointments via videoconference at local Queensland Health facilities, and the standard care cohort (SCC) included those who continue to have their follow-up in Toowoomba Hospital.ResultsA total of 234 patients with CKD were seen via videoconference clinics between September 1, 2011 and December 31, 2016, representing 22.2% of the CKD registry cohort from Toowoomba Hospital. The baseline characteristics and comorbid profiles of both groups were similar. The Aboriginal population was overrepresented in the TC (22.2% vs. 5.9%). As a group for each visit, the TC traveled 100,000 km less (both ways) to see a specialist physically. During follow-up, 5.1% of patients in the TC were initiated on dialysis whereas 9.9% were initiated on dialysis in the SCC (P = 0.02). There was lower mortality in the TC (11.1% vs. 18.2%; P = 0.02).ConclusionTelenephrology clinics were safe, economical, and efficient for the delivery of specialist care for patients with CKD living at a distance from the main referral hospital. Such care was comparable to standard care delivered at the main hospital but with clear benefits to the patients in terms of reduced travel distance, more independence, and similar outcomes.

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Section: Discussionmentioning

confidence: 99%

Chronic Kidney Disease, Queensland (CKD.QLD) Registry: Management of CKD With Telenephrology

Venuthurupalli

Rolfe²,

Fanning

et al. 2018

Kidney International Reports

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“…Using telehealth for the provision of care to patients with kidney disease is not a new idea, with experiences treating hepatitis C in rural New Mexico extended to nephrology-focused telehealth systems within the Veterans Affairs health care system (3,4). In Australia, telehealth is used widely for patients receiving home dialysis (5,6). However, there remain little data available to compare the quality of care delivered by telehealth with that of traditional care for patients receiving home dialysis.…”

Section: Potential Advantages Of Telehealth For Home Dialysis Encountersmentioning

confidence: 99%

Telehealth and Home Dialysis

Bieber

Weiner

2018

CJASN

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“…This store and carry forward telehealth method in the form of e-consults-electronic clinician-to-clinician communications has been the most used form of tele-nephrology in ambulatory settings (4) and has the potential to overcome limited specialist availability, travel distance, and other barriers to expert specialty care for rural residents. In nephrology, active U.S.-based telehealth programs include those in specialized populations: veterans and the Zuni tribe in New Mexico, and others primarily in outpatient clinic settings (4)(5)(6)(7)(8). However, there is very little experience with telemedicine for renal patients in rural hospitals using real-time (synchronous) videoconferencing and virtual examination, although there is experience in the home dialysis space (9).…”

Section: Introductionmentioning

confidence: 99%