Online Patient Portal Use and Time to Renal Transplantation in Patients on Hemodialysis.

Autor:	Zmijewski PV; Department of Surgery, Rhode Island Hospital, Providence, RI; The Warren Alpert Medical School of Brown University, Providence, RI. Electronic address: polina.zmijewski@lifespan.org., Decroce-Movson E; The Warren Alpert Medical School of Brown University, Providence, RI., Reinert SE; Lifespan Information Services, Providence, RI., Mallette MM; Department of Surgery, Rhode Island Hospital, Providence, RI., Machan JT; Department of Surgery, Rhode Island Hospital, Providence, RI; The Warren Alpert Medical School of Brown University, Providence, RI., Morrissey PE; Department of Surgery, Rhode Island Hospital, Providence, RI; The Warren Alpert Medical School of Brown University, Providence, RI., Osband AJ; Department of Surgery, Rhode Island Hospital, Providence, RI; The Warren Alpert Medical School of Brown University, Providence, RI.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Surgeons [J Am Coll Surg] 2020 Jun; Vol. 230 (6), pp. 983-988. Date of Electronic Publication: 2020 Jan 08.
DOI:	10.1016/j.jamcollsurg.2019.11.013
Abstrakt:	Background: Online portals have been shown to be a valuable tool for patients to improve compliance with medical treatment in numerous studies across medical specialties. Our aim was to study the effects of the use of web-based applications that allow patients to track their appointments, labs, and provider visit notes on achievement of renal transplantation. Study Design: This is a retrospective chart review of patients in 2 outpatient dialysis centers associated with a 719-bed tertiary care academic medical center. Results: Nine percent of portal users at 3 years after initiation of hemodialysis were the recipients of kidney transplants vs 9% of nonusers. At 4 years, 23% of users were transplant recipients vs 13% of nonusers. At 5 years, 40% of users were transplant recipients vs 14% of nonusers. There was statistically significant divergence of the curves, with the greatest difference observed at 5 years (p = 0.047). In addition, increased number of logins per month was associated with shortened time to renal transplantation (p = 0.0067). Conclusions: Online portal use is associated with a higher likelihood of being approved as a transplantation candidate and increased number of logins is associated with shortened time to renal transplantation. (Copyright © 2020 American College of Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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