Online Patient Portal Use and Time to Renal Transplantation in Patients on Hemodialysis
| Autor: | Polina V. Zmijewski, Paul E. Morrissey, Jason T. Machan, Steven E. Reinert, Adena J. Osband, Eliza Decroce-Movson, Meaghan Mallette |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment MEDLINE Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Patient Portals Renal Dialysis Internal medicine medicine Humans Renal Insufficiency Dialysis Kidney transplantation Retrospective Studies Kidney business.industry Patient portal Retrospective cohort study Middle Aged medicine.disease Kidney Transplantation Transplantation medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Surgery Hemodialysis business Facilities and Services Utilization |
| Zdroj: | Journal of the American College of Surgeons. 230:983-988 |
| ISSN: | 1072-7515 |
| DOI: | 10.1016/j.jamcollsurg.2019.11.013 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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