Keywords
Kidney transplantation
telemedicine
teleconsultation
COVID-19 pandemic
e-health
telemedicine
teleconsultation
COVID-19 pandemic
e-health
How to Cite
1.
Garcia-Lopez A, Patino-Jaramillo N, Sanchez-Avila Y, Giron-Luque F. Telemedicine follow-up in kidney transplant patients during the COVID-19 pandemic. Rev. Colomb. Nefrol. [Internet]. 2022 Mar. 25 [cited 2024 Apr. 19];9(1):e544. Available from: https://revistanefrologia.org/index.php/rcn/article/view/544
Abstract
Introduction: The COVID-19 pandemic led to the restructuring of health services around the world. Teleconsultation offers access to remote health care and a mitigation strategy.
Objective: Describe the results of a teleconsultation program in a transplant center under the COVID-19 pandemic.
Materials and methods: Descriptivecross-sectionalstudydescribingtheexperienceoftheuseofteleconsultationduringtheCOVID-19pandemicatanorgantransplantcenterinColombia.TheinformationwasobtainedbydirectlycollectingthetotalnumberofpatientstreatedduringApril2020andbysendingastructuredelectronicquestionnairetothepatientsinvolvedinthecare.
Results: A total of 1139 renal transplant patients were assessed by teleconsultation. The geographical distribution of patients in metropolitan areas and outside the metropolitan area were similar (n=575 and n=564, respectively). Of the total, 292 patients responded to the survey sent with an average age of 48 years. The patients had high satisfaction with the teleconsultation model (n=278, 94%). There were 2 suspected cases of COVID-19, which were negative when performing the PCR-RT test.
Conclusion: Teleconsultation is a useful tool in the mitigation of the health emergency, with a high potential, which generates greater access and health care opportunity, presenting high acceptance rates.
References
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21. Wosik J, Fudim M, Cameron B, Gellad ZF, Cho A, Phinney D, et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc. 2020;27(6):957–62.
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28. Finkelstein SM, MacMahon K, Lindgren BR, Robiner WN, Lindquist R, vanWormer A, et al. Development of a remote monitoring satisfaction survey and its use in a clinical trial with lung transplant recipients. J Telemed Telecare. 2012;18(1):42–6.
29. Shahmoradi L, Abtahi H, Amini S, Gholamzadeh M. Systematic review of using medical informatics in lung transplantation studies. Int J Med Inform [Internet]. 2020;136:104096. Disponible en: https://doi.org/10.1016/j.ijmedinf.2020.104096
30. Tuckson R V, Edmunds M, Ph D, Hodgkins ML. Telehealth. N Engl J Med. 2020;1585–92.
31. Concepcion BP, Forbes RC. The Role of Telemedicine in Kidney Transplantation: Opportunities and Challenges. Kidney360. 2020;10.34067/KID.0000332020.
32. Schwartz KA, Britton B. Use of telehealth to improve chronic disease management. N C Med J. 2011;72(3):216–8.
33. Forbes RC, Rybacki DB, Johnson TB, Hannah-Gillis A, Shaffer D, Hale DA. A Cost Comparison for Telehealth Utilization in the Kidney Transplant Waitlist Evaluation Process. Transplantation. 2018;102(2):279–83.
34. Scott Kruse C, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M. Evaluating barriers to adopting telemedicine worldwide: A systematic review. J Telemed Telecare. 2018;24(1):4–12.
2. OPS. La OMS caracteriza a COVID-19 como una pandemia [Internet]. 2020. Disponible en: https://www.paho.org/hq/index.php?option=com_content&view=article&id=15756:who-characterizes-covid-19-as-a-pandemic&Itemid=1926&lang=es
3. Rao SS, Loeb AE, Amin RM, Golladay GJ, Levin AS, Thakkar SC. Establishing Telemedicine in an Academic Total Joint Arthroplasty Practice: Needs and Opportunities Highlighted by the COVID-19 Pandemic. Arthroplast today [Internet]. 2020; Disponible en: https://europepmc.org/articles/PMC7177124
4. Gadzinski AJ, Gore JL, Ellimoottil C, Odisho AY, Watts KL. Implementing Telemedicine in Response to the COVID-19 Pandemic. Vol. 204, The Journal of urology. 2020. p. 14–6.
5. Borchert A, Baumgarten L, Dalela D, Jamil M, Budzyn J, Kovacevic N, et al. Managing Urology Consultations During COVID-19 Pandemic: Application of a Structured Care Pathway. Urology [Internet]. el 21 de abril de 2020;141:7–11. Disponible en: https://www.unboundmedicine.com/medline/citation/32330531/Managing_Urology_Consultations_during_COVID-19_Pandemic:_Application_of_a_Structured_Care_Pathway.
6. OPS/OMS | La OMS caracteriza a COVID-19 como una pandemia [Internet]. [citado el 21 de septiembre de 2020]. Disponible en: https://www.paho.org/hq/index.php?option=com_content&view=article&id=15756:who-characterizes-covid-19-as-a-pandemic&Itemid=1926&lang=es
7. En S, Pandemia LA. SALUD EN LA PANDEMIA POR COVID-19 Ministerio de Salud y Protección Social Bogotá , abril de 2020. 2020;1–19.
8. Ministerio de Salud y Protección Social. Decreto 538 del 12 de abril de 2020. 2020;24.
9. Muñoz-Duyos A, Abarca-Alvarado N, Lagares-Tena L, Sobrerroca L, Costa D, Boada M, et al. Teleconsulta en una unidad de coloproctología durante la pandemia de COVID-19. Resultados preliminares. Cirugía Española [Internet]. 2020; Disponible en: http://www.sciencedirect.com/science/article/pii/S0009739X20302268
10. López V, Vázquez T, Alonso-titos J, Cabello M, Alonso A, Beneyto I, et al. Recomendaciones en el manejo de la pandemia por coronavirus SARS-CoV-2 (Covid-19) en pacientes con trasplante renal. 2020;2(x x).
11. Social M de S y P. Resolución No. 2654 del 2019 [Internet]. 2019. p. 10. Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/Resolución No. 2654 del 2019.pdf
12. Serper M, Volk ML. Current and Future Applications of Telemedicine to Optimize the Delivery of Care in Chronic Liver Disease. Clin Gastroenterol Hepatol. febrero de 2018;16(2):157–161.e8.
13. Hollander JE, Carr BG. Virtually perfect? Telemedicine for covid-19 [Internet]. Vol. 382, New England Journal of Medicine. Massachussetts Medical Society; 2020 [citado el 2 de julio de 2020]. p. 1679–81. Disponible en: http://www.nejm.org/doi/10.1056/NEJMp2003539
14. Lurie N, Carr BG. The role of telehealth in the medical response to disasters. JAMA Intern Med. 2018;178(6):745–6.
15. Tuckson R V., Edmunds M, Hodgkins ML. Telehealth. N Engl J Med [Internet]. el 19 de octubre de 2017 [citado el 2 de julio de 2020];377(16):1585–92. Disponible en: http://www.nejm.org/doi/10.1056/NEJMsr1503323
16. Márquez Velásquez JR. Teleconsulta en la pandemia por Coronavirus: desafíos para la telemedicina pos-COVID-19. Rev Colomb Gastroenterol. 2020;35(Supl. 1):5–16.
17. Mendoza J. Telemedicina, un servicio que llegó para quedarse. El Heraldo [Internet]. 2020 [citado el 2 de julio de 2020];1. Disponible en: https://www.elheraldo.co/salud/telemedicina-un-servicio-que-llego-para-quedarse-732465
18. Bashshur R, Doarn CR, Frenk JM, Kvedar JC, Woolliscroft JO. Telemedicine and the COVID-19 pandemic, lessons for the future. Telemed e-Health. 2020;26(5):571–3.
19. Shachar C, Engel J, Elwyn G. Implications for Telehealth in a Postpandemic Future: Regulatory and Privacy Issues. JAMA - J Am Med Assoc. 2020;18–9.
20. Zhao Y, Wei L, Liu B, Du D. Management of Transplant Patients outside Hospital during COVID?19 Epidemic: a Chinese Experience. Transpl Infect Dis. 2020;0–3.
21. Wosik J, Fudim M, Cameron B, Gellad ZF, Cho A, Phinney D, et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc. 2020;27(6):957–62.
22. Andrew N, Barraclough KA, Long K, Fazio TN, Holt S, Kanhutu K, et al. Telehealth model of care for routine follow up of renal transplant recipients in a tertiary centre: A case study. J Telemed Telecare. 2020;26(4):232–8.
23. Zhang X, Zaman B uz. Adoption mechanism of telemedicine in underdeveloped country. Health Informatics J [Internet]. 2019 [citado el 2 de julio de 2020]; Disponible en: https://pubmed.ncbi.nlm.nih.gov/31566450/
24. Fisk M, Livingstone A, Pit SW. Telehealth in the Context of COVID-19: Changing Perspectives in Australia, the United Kingdom, and the United States. J Med Internet Res [Internet]. el 9 de junio de 2020 [citado el 2 de julio de 2020];22(6):e19264. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32463377/
25. Ellen Christin Arntzen, Bjørn Kåre Straume, Francis Odeh, Peter Feys, Paolo Zanaboni, Britt Normann. Group-Based Individualized Comprehensive Core Stability Intervention Improves Balance in Persons With Multiple Sclerosis: A Randomized Controlled Trial. Phys Ther [Internet]. 2018 [citado el 2 de julio de 2020];98(5):1027–38. Disponible en: https://www.ncbi.nlm.nih.gov/m/pubmed/30010971/?i=11&from=(Motor Control) AND (low back pain)
26. Nawas MT, Landau HJ, Sauter CS, Featherstone CA, Kenny SA, Rodriguez ES, et al. Pilot Study of Telehealth Evaluations in Patients Undergoing Hematopoietic Cell Transplantation. Biol Blood Marrow Transplant [Internet]. 2020;26(6):e135–7. Disponible en: https://doi.org/10.1016/j.bbmt.2020.02.004
27. Kane LT, Thakar O, Jamgochian G, Lazarus MD, Abboud JA, Namdari S, et al. The role of telehealth as a platform for postoperative visits following rotator cuff repair: a prospective, randomized controlled trial. J Shoulder Elb Surg [Internet]. 2020;29(4):775–83. Disponible en: http://dx.doi.org/10.1016/j.jse.2019.12.004
28. Finkelstein SM, MacMahon K, Lindgren BR, Robiner WN, Lindquist R, vanWormer A, et al. Development of a remote monitoring satisfaction survey and its use in a clinical trial with lung transplant recipients. J Telemed Telecare. 2012;18(1):42–6.
29. Shahmoradi L, Abtahi H, Amini S, Gholamzadeh M. Systematic review of using medical informatics in lung transplantation studies. Int J Med Inform [Internet]. 2020;136:104096. Disponible en: https://doi.org/10.1016/j.ijmedinf.2020.104096
30. Tuckson R V, Edmunds M, Ph D, Hodgkins ML. Telehealth. N Engl J Med. 2020;1585–92.
31. Concepcion BP, Forbes RC. The Role of Telemedicine in Kidney Transplantation: Opportunities and Challenges. Kidney360. 2020;10.34067/KID.0000332020.
32. Schwartz KA, Britton B. Use of telehealth to improve chronic disease management. N C Med J. 2011;72(3):216–8.
33. Forbes RC, Rybacki DB, Johnson TB, Hannah-Gillis A, Shaffer D, Hale DA. A Cost Comparison for Telehealth Utilization in the Kidney Transplant Waitlist Evaluation Process. Transplantation. 2018;102(2):279–83.
34. Scott Kruse C, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M. Evaluating barriers to adopting telemedicine worldwide: A systematic review. J Telemed Telecare. 2018;24(1):4–12.
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