Related Experiment Video
Updated: Jul 6, 2025
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
11.6K
Effect of Remote and Virtual Technology on Home Dialysis
Susie Q Lew1, Sabrina Milan Manani2, Claudio Ronco2
1Department of Medicine, The George Washington University, Washington, DC.
Clinical Journal of the American Society of Nephrology : CJASN
|January 8, 2024
Summary
Telehealth and remote patient monitoring are transforming home dialysis care in the US. These technologies improve patient outcomes and equity, but further research is needed to address existing challenges.
Area of Science:
- Nephrology
- Health Informatics
- Digital Health
Background:
- Regulatory changes in the US have facilitated telehealth adoption for home dialysis patients since 2019.
- The COVID-19 pandemic accelerated the use of telehealth in the United States, particularly in nephrology.
- Remote patient monitoring is predominantly used in home dialysis modalities.
Purpose of the Study:
- To discuss the impact of remote and virtual technologies on home dialysis patients.
- To examine the effects on healthcare disparities and provider workflows.
- To highlight future applications, including AI and artificial neural networks for personalized treatments.
Main Methods:
- Review of telehealth regulations and adoption trends in home dialysis.
- Discussion of the integration of remote and virtual technologies in nephrology.
- Exploration of potential future technological advancements.
Main Results:
- Telehealth and remote monitoring are increasingly applied to home dialysis care.
- These technologies present opportunities to improve patient outcomes and address healthcare disparities.
- Challenges remain, necessitating further innovation and research.
Conclusions:
- Remote and virtual technologies offer significant potential for home dialysis patient care.
- Future innovations, including AI, could optimize personalized treatments.
- Prospective studies are crucial to evaluate the full impact on outcomes, cost, and engagement.
Related Concept Videos
01:27Dialysis
319
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
319
01:22Heart Failure Drugs: Diuretics
384
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
384
01:11Renal Failure: Dose Adjustments
92
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
92
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K