The state of video-based telemedicine for kidney disease care

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Video-based telemedicine has provided an alternative way to provide care to patients and has rapidly become a leading model of chronic disease management during pandemic restrictions. A recent review of the published study provides an overview of available evidence regarding the implementation and outcomes of using video-based telemedicine for adults throughout the spectrum of long-term kidney disease.The study is published at CJASN..

A team led by Ann Young, MD and Ph.D. (St. Michael’s Hospital, Unity Health Toronto, Ontario, Canada) and Stephanie W. Ong, Master’s Program (University Health Network, Ontario, Canada) were announced in 10 countries between 1997 and 2020. Twenty-four studies have been identified. Researchers have found that video-based telemedicine is used to facilitate care across all stages of chronic kidney disease (early stage kidney disease, dialysis, and transplantation). Previous studies used institution-specific technology to link major hospital sites to more remote medical facilities, while recent studies show consumers on personal devices that further remove geographical barriers. The use of the base platform has been seen.

Video-based care has been well received in studies reporting acceptable clinical outcomes, improved efficiency, and high patient satisfaction.

“This is encouraging, but as the latest technology is streamlined into everyday health care, the’digital divide’is becoming more prominent, with broadband internet connections, people with inaccessible video-enabled devices, and technology literacy. It has a negative impact on a limited number of people. This is an area that deserves further research. “

October 13NS, Three Canadian health officials (Director of Health in Ontario, Deputy Minister of Health Planning for Ontario, Ministry of Health, Registration and Chief Executive Officer of Ontario Medical and Surgery College), more doctors Resumed face-to-face visits and urged to reduce virtual bookings. Virtual visits were encouraged in the early days of the COVID-19 pandemic, but pressure on the medical system has since eased.

“The nature of CKD care is particularly well suited for virtual care, given the relevant medical history, laboratory survey reviews, and counseling that can all be done via a virtual platform,” said Dr. Young. “The main obstacle to virtual care is the lack of physical examination. Virtual visits are a powerful tool, but in certain clinical environments, physical examination is necessary. Finding the right balance between virtual visits and face-to-face visits is important. . “

Authors of the study include Ani Orchanian-Cheff, BA, MISt, Christopher T. Chan, MD, FRCPC, and Ron Wald, BSc, MD, MPH, FRCPC.

An accompanying editorial note that Telehealth will continue to be an effective and important tool health Care, but not a suitable option for every patient on every visit. The author also emphasizes that ongoing research becomes important as the field progresses. “As the use of telemedicine evolves and technology continues to advance, additional observational and intervention studies will be needed to measure the outcome of telemedicine,” they write.

The accompanying Patient Voice editorial provides a perspective on patients with lupus nephritis who have encountered clinicians many times through both face-to-face and telemedicine visits.

Similar follow-up after telemedicine and office visits: study

For more information:
“Video-based Telemedicine for the Treatment of Kidney Disease: Scorping Review” CJASN, DOI: 10.2215 / CJN.06660521

“Telemedicine and Kidney Disease Care: A Post-Public Health Emergency Role” CJASN, DOI: 10.2215 / CJN.13651021

“Patients’ views on telemedicine for the treatment of kidney disease” CJASN, DOI: 10.2215 / CJN.11250821

Quote: The state of video-based telemedicine for the treatment of kidney disease (December 7, 2021) is https: // Obtained from html on December 7, 2021.

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