Impact of telehealth interventions added to peritoneal dialysis-care: a systematic review

被引:14
|
作者
Biebuyck, Geertje K. M. [1 ,2 ]
Neradova, Aegida [1 ,2 ]
de Fijter, Carola W. H. [3 ]
Jakulj, Lily [1 ,2 ]
机构
[1] Univ Amsterdam, Amsterdam UMC Locat, Dept Med, Dianet Dialysis Ctr,Div Nephrol, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands
[2] Univ Amsterdam, Amsterdam UMC Locat, Dept Med, Div Nephrol,Internal Med & Nephrol, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands
[3] Dept Internal Med & Nephrol OLVG, Amsterdam, Netherlands
关键词
Telehealth; E-health; Telemedicine; Peritoneal dialysis; Home-dialysis; Covid-19; HOME DIALYSIS; PATIENT; SATISFACTION; PLATFORM; OUTCOMES;
D O I
10.1186/s12882-022-02869-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background Telehealth could potentially increase independency and autonomy of patients treated with peritoneal dialysis (PD). Moreover, it might improve clinical and economic outcomes. The demand for telehealth modalities accelerated significantly in the recent COVID-19 pandemic. We evaluated current literature on the impact of telehealth interventions added to PD-care on quality of life (QoL), clinical outcomes and cost-effectiveness. Methods An electronic search was performed in Embase, PubMed and the Cochrane Library in order to find studies investigating associations between telehealth interventions and: i. QoL, including patient satisfaction; ii. Standardized Outcomes in Nephrology (SONG)-PD clinical outcomes: PD-related infections, mortality, cardiovascular disease and transfer to hemodialysis (HD); iii. Cost-effectiveness. Studies investigating hospitalizations and healthcare resource utilization were also included as secondary outcomes. Due to the heterogeneity of studies, a meta-analysis could not be performed. Results Sixteen reports (N = 10,373) were included. Studies varied in terms of: sample size; design; risk of bias, telehealth-intervention and duration; follow-up time; outcomes and assessment tools. Remote patient monitoring (RPM) was the most frequently studied intervention (11 reports; N = 4982). Telehealth interventions added to PD-care, and RPM in particular, might reduce transfer to HD, hospitalization rate and length, as well as the number of in-person visits. It may also improve patient satisfaction. Conclusion There is a need for adequately powered prospective studies to determine which telehealth-modalities might confer clinical and economic benefit to the PD-community.
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页数:18
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