Telemedicine in Advanced Kidney Disease and Kidney Transplant: A Qualitative Meta-Analysis of Studies of Patient Perspectives

• DOI: 10.1016/j.xkme.2024.100849
• Publication Date: 2024-05-24T23:48:55Z
• Authors: Christopher D. Manko; Benjamin J. Apple; Alexander R. Chang; Katrina M. Romagnoli; Bobbie L. Johannes
• Keywords: kidney transplant; 03 medical and health sciences; 0302 clinical medicine; telemedicine; RC870-923; Kidney disease; patient perspectives; Diseases of the genitourinary system. Urology; Original Research

Rationale & ObjectiveWhile the use of telemedicine has increased dramatically across disciplines, patient perspectives on related to chronic kidney disease are not well understood. We systematically reviewed qualitative studies patients with as those transplant better understand these patients' telemedicine.Study DesignQualitative Meta-AnalysisSetting Study ParticipantsPre-dialysis and that used telemedicine.Selection Criteria for StudiesEnglish language published in year 2000 beyond investigated a manner. Works were or did focus provider-patient interactive modes excluded.Data Extraction375 papers pulled from PubMed, Embase, Academic Science Premier. After filtering, 8 final selected. These critically appraised quality analysis.Analytical ApproachWe grounded theory approach develop codebook review each selected through meta-analysis included literature.ResultsTelemedicine was seen by have notable strengths weaknesses. characteristics can be organized into four primary themes (autonomy, logistics, privacy/confidentiality, trust). Within theme, we identified subthemes. Universally, all subtheme "fewer trips healthcare facility" beneficial factor within theme "logistics". A majority (6/8) positive "autonomy" terms promoting "engagement". Patients' views mixed regards "privacy/confidentiality" "trust" telemedicine.LimitationsLack provider perspectives, non-English studies, before 2000. Papers after start data extraction also included.ConclusionsTelemedicine should continue offered facilitate access. Additional research ways decrease negative factors experienced some such difficulty using technology. While telemedicine. Qualitative Meta-Analysis Pre-dialysis English excluded. 375 analysis. literature. Telemedicine Lack included.