Telemedicine for Pediatric Nephrology: Perspectives on COVID-19, Future Practices, and Work Flow Changes.

Index Words: Acute Kidney Injury, Dialysis, Hypertension,Pediatrics, Telemedicine

Journal

Kidney medicine
ISSN: 2590-0595
Titre abrégé: Kidney Med
Pays: United States
ID NLM: 101756300

Informations de publication

Date de publication:
Historique:
pubmed: 6 4 2021
medline: 6 4 2021
entrez: 5 4 2021
Statut: ppublish

Résumé

Although the use of telemedicine in rural areas has increased steadily over the years, its use was rapidly implemented during the onset of the coronavirus disease 2019 (COVID-19) crisis. Due to this rapid implementation, there is a lack of standardized work flows to assess and treat for various nephrotic conditions, symptoms, treatment modalities, and transition processes in the pediatric population. To provide a foundation/suggestion for future standardized work flows, the authors of this report have developed standardized work flows using the Delphi method. These work flows were informed based on results from cross-sectional surveys directed to patients and providers. Most patients and providers were satisfied, 87% and 71%, respectively, with their telemedicine visits. Common issues that were raised with the use of telemedicine included difficulty procuring physical laboratory results and a lack of personal warmth during telemedicine visits. The work flows created based on these suggestions will both enhance safety in treating patients and allow for the best possible care.

Identifiants

pubmed: 33817618
doi: 10.1016/j.xkme.2021.01.007
pii: S2590-0595(21)00063-7
pmc: PMC8004477
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

412-425

Investigateurs

Hui Kim Yap (HK)
Sidharth K Sethi (SK)
Arvind Bagga (A)
Pankaj Hari (P)
Timothy Bunchman (T)
Sharon Bartosh (S)
Katherine Twombley (K)
Gaurav Kapur (G)
Mignon McCulloch (M)
Guido Filler (G)
Bradley A Warady (BA)
Maria Díaz-González de Ferris (M)

Informations de copyright

© 2021 The Authors.

Références

J Med Internet Res. 2018 May 09;20(5):e176
pubmed: 29743150
Ann Transplant. 2018 Jan 16;23:45-60
pubmed: 29335397
JMIR Res Protoc. 2017 Apr 20;6(4):e63
pubmed: 28428168
J Telemed Telecare. 2007;13(6):288-92
pubmed: 17785025
Perit Dial Int. 2014 May;34(3):278-88
pubmed: 24385331
Nephrol News Issues. 2016 Aug;30(8):35-36
pubmed: 30513169
Clin Toxicol (Phila). 2012 Jun;50(5):403-13
pubmed: 22578059
Clin J Am Soc Nephrol. 2017 Nov 7;12(11):1900-1909
pubmed: 28710094
Am J Nephrol. 2020;51(6):480-482
pubmed: 32344420
Clin J Am Soc Nephrol. 2020 Jun 8;15(6):892-895
pubmed: 32345749
Telemed J E Health. 2011 May;17(4):283-7
pubmed: 21480788
Nephrol Dial Transplant. 2013 Apr;28(4):972-81
pubmed: 23243040
Glob J Health Sci. 2015 Jul 26;8(3):168-73
pubmed: 26493429
J Adv Nurs. 2010 Aug;66(8):1780-92
pubmed: 20557392
Ann Intern Med. 2003 Jan 7;138(1):33-9
pubmed: 12513042
SAGE Open Med. 2016 Oct 04;4:2050312116670188
pubmed: 27757228

Auteurs

Rupesh Raina (R)

Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, OH.
Department of Nephrology, Akron Children's Hospital, Akron, OH.

Nikhil Nair (N)

Department of Chemistry, Case Western Reserve University, Cleveland, OH.

Aditya Sharma (A)

Department of Internal Medicine, Northeast Ohio Medical University, Rootstown, OH.

Ronith Chakraborty (R)

Department of Internal Medicine, Burrell College of Osteopathic Medicine, Las Cruces, NM.

Sarah Rush (S)

Department of Hematology Oncology, Akron Children's Hospital, Akron, OH.

Classifications MeSH