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Video-Based Telemedicine for Kidney Disease Care: A Scoping Review
Ann Young1,2, Ani Orchanian-Cheff3, Christopher T Chan2,4,5
1Division of Nephrology, Unity Health-St. Michael's Hospital, Toronto, Ontario, Canada.
Clinical Journal of the American Society of Nephrology : CJASN
|January 11, 2023
Summary
Video telemedicine is effective for chronic kidney disease (CKD) patients, showing high satisfaction and good clinical outcomes. Further research is needed to address integration and access barriers for this evolving care model.
Area of Science:
- Nephrology
- Digital Health
- Health Services Research
Background:
- Video-based telemedicine offers an alternative healthcare delivery model for patients with chronic kidney disease (CKD).
- The adoption and outcomes of video-based telemedicine in nephrology require a comprehensive evidence overview.
Purpose of the Study:
- To provide an overview of the available evidence on the implementation and outcomes of adopting video-based telemedicine in nephrology.
- To synthesize findings on the use of video-based interventions across the spectrum of kidney disease.
Main Methods:
- Searched multiple databases (MEDLINE, EMBASE, Cochrane, CINAHL) for studies on video-based telemedicine in adult kidney disease patients.
- Included peer-reviewed clinical trials, observational, and descriptive studies; data synthesized in tabular format, summarizing interventions and outcomes.
Main Results:
- 24 studies were included, utilizing video technology across all CKD stages.
- Early studies used institution-specific tech, while recent ones employed flexible platforms allowing remote patient care.
- Studies reported high patient satisfaction and acceptable clinical outcomes with video-based care.
Conclusions:
- Video-based telemedicine is increasingly utilized in nephrology, with reduced reliance on specialized equipment.
- Further research is essential to address knowledge gaps in sustainable integration and access barriers for video-based kidney care.
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