Related Experiment Video

Updated: Jun 5, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

A study of online consultations for paediatric renal patients in Russia

Julia Braverman1, Dmitry V Samsonov

  • 1Division on Addictions, Cambridge Health Alliance, 101 Station Lnd, 2 floor, Boston MA 02155, USA. braverju@gmail.com

Journal of Telemedicine and Telecare
|December 18, 2010
PubMed

Insights

An online platform provided consultations for parents of children with kidney diseases in Russia. The service improved parental satisfaction and education, potentially reducing overdiagnosis and aiding underserved areas.

Area of Science:

  • Pediatric Nephrology
  • Digital Health
  • Patient Education

Background:

  • Paediatric kidney diseases require specialized care and parental understanding.
  • Access to expert advice can be limited, particularly in remote or underserved regions.
  • Overdiagnosis of common pediatric conditions can lead to unnecessary anxiety and treatment.

Purpose of the Study:

  • To evaluate the effectiveness of an educational website offering online consultations for parents of pediatric kidney disease patients.
  • To assess parental satisfaction and the impact of online consultations on patient education and care.
  • To identify potential benefits in reducing misdiagnosis rates and improving healthcare access.

Main Methods:

  • Development of an educational website for parents in Russia.
  • Online submission of patient information and medical queries.
  • Review and consultation by a US-trained pediatric nephrology specialist.
  • Anonymous user satisfaction surveys to gather feedback.

Main Results:

  • 141 unique users in the first nine months; 58% female patients.
  • Analysis of 70 cases revealed overdiagnosis in 45% of common pediatric problems (e.g., UTI, pyelonephritis).
  • High user satisfaction (mean 4.6/5), with 90% trusting the service and recommending it.

Conclusions:

  • Online consultations offer reliable information, enhancing parental satisfaction and education.
  • This digital health approach can improve pediatric care and patient education, especially in underserved areas.
  • The service demonstrated potential in clarifying diagnoses and guiding appropriate follow-up care.

More Related Videos

Robot-Assisted Kidney Transplantation07:30

Robot-Assisted Kidney Transplantation

Published on: July 19, 2021

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration01:28

Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration

Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area. This equation is...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...