Renal Disease

Renal Disease: Introduction

Renal Disease: Introduction

The application of home telehealth to the management of renal disease is a relatively recent development. It may be used for educational purposes, including the training of patients beginning home dialysis, or for remotely monitoring patients’ clinical status […]

Renal Disease: Key Messages

Renal Disease: Key Messages

Researchers have established the feasibility of using home telehealth for management of renal disease.   Very little information is available on home telehealth for renal disease.  Unknowns include satisfaction, uptake, clinical outcomes, and effects on the health care system.   Economic analyses cannot take place until clinical efficacy has been established.   Our search excluded […]

Renal Disease: Scope of Literature

Renal Disease: Scope of Literature

Summary In most cases, studies excluded patients with physical or cognitive disability, life-threatening illnesses and/or moderate to severe complications. Pregnancy or planned pregnancy was another common disqualifying factor. The most notable of the few exceptions to the exclusion of patient with co-morbidities are the VA-CCHT programs, many of which targeted veterans with complex medical conditions […]

Renal Disease: Intervention Design and Implementation

Renal Disease: Intervention Design and Implementation

Summary The application of home telehealth to the management of renal disease is a relatively recent development.  It may be used for educational purposes, including the training of patients beginning home dialysis, or for remotely monitoring patients’ clinical status.   Details Basic Model Given the low number of studies retrieved, it is not possible to […]

Renal Disease: Patient Outcomes

Renal Disease: Patient Outcomes

Summary At present, there is extremely limited evidence on the effects of home telehealth on patients’ clinical status, self-efficacy, self-management ability, or quality of life. The quality of the studies that do exist is sub-optimal.  A liberal interpretation of their findings might provide grounds for cautious optimism, but the need for further research is unquestionable.  […]

Renal Disease: Provider Outcomes

Renal Disease: Provider Outcomes

Summary As in other chronic disease areas, it appears that nurses are the providers most likely to be selected as overseers of home telehealth interventions.  Video- and web-conferencing systems may reduce appointment times, but it is not clear whether content is actually delivered more efficiently or whether time savings arise from reduced travel and wait […]

Renal Disease: System Outcomes

Renal Disease: System Outcomes

Summary The economic effects of home telehealth can be discussed using direct or indirect measures of costs and cost savings.  Direct measures include figures such as cost per patient, cost per telehealth unit, and annual costs.  Examples of indirect measures are probability of patient hospitalization, number of emergency room visits, and other types of health […]

Renal Disease: Works Cited

Renal Disease: Works Cited

Chanliau, J., Caillete-Beaudoin, A.,& Grangier, J.-P. (2012). Telemedicine and peritoneal dialysis. About two French experiences in Lorraine and Rhone-Alpes.  European Research in Telemedicine, 1(1): 49-53. Gallar P., Vigil A., Rodriguez I., Ortega O., Gutierrez M., Hurtado J., Oliet A., Ortiz M., Mon C., Herrero J C, Lentisco C. (2007), 2-year experience with telemedicine in the […]

Renal Disease: Master Table

Renal Disease: Master Table

Click on a column’s arrow to sort by that column.  To view a larger version of the table, click on the icon in its lower right corner. See also Renal Disease – Works Cited.