65
views
0
recommends
+1 Recommend
1 collections
    1
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Improving Peritoneal Dialysis Access in Rural Communities with Telemedicine

      research-article

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Increased availability of telehealth, along with patient satisfaction with the modality and financial incentives, makes peritoneal dialysis (PD) an excellent option for qualifying patients living in rural communities. Telemedicine has the potential to radically change the delivery of dialysis care by facilitating the ability of these patients to interact with their PD team via telehealth using a computer with reliable broadband Internet, which many rural clinics and hospitals now possess. Recent legal precedents make this a possibility. Therefore, it is recommended that renal providers take advantage of these favorable conditions to expand the diversity and quality of their practice.

          Related collections

          Most cited references9

          • Record: found
          • Abstract: found
          • Article: found

          Quality of Life and Physical Function in Older Patients on Dialysis : A Comparison of Assisted Peritoneal Dialysis with Hemodialysis

          In-center hemodialysis (HD) is often the default dialysis modality for older patients. Few centers use assisted peritoneal dialysis (PD), which enables treatment at home. This observational study compared quality of life (QoL) and physical function between older patients on assisted PD and HD.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Comparison of Patient Survival Between Hemodialysis and Peritoneal Dialysis Among Patients Eligible for Both Modalities.

            Although peritoneal dialysis (PD) costs less to the health care system compared to in-center hemodialysis (HD), it is an underused therapy. Neither modality has been consistently shown to confer a clear benefit to patient survival. A key limitation of prior research is that study patients were not restricted to those eligible for both therapies.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Peritoneal Dialysis or Hemodialysis: Present and Future Trends in the United States.

              In 2013, 88.4% of all incident end-stage renal disease (ESRD) patients began renal replacement therapy with hemodialysis (HD) while 9.0% began with peritoneal dialysis (PD). The remaining 2.6% received a preemptive kidney transplant. In the US, outpatient HD units are widely distributed and economy of scale has resulted in HD being the most common ESRD modality. Use of PD and preemptive kidney transplant were relatively more common in younger groups and relatively less common among Black and Hispanic patients. Of note is that the new Medicare reimbursement system, known as the 'bundle', provides substantial financial incentives to do PD as opposed to in-center HD. By the end of 2013, 63.9% of all prevalent ESRD cases were receiving HD, 6.9% were being treated with PD, and 29.3% had a functioning kidney transplant. Distributions of modality use by patient characteristics generally mirror those for incident patients. PD and kidney transplant were more commonly used among patients who were younger and were more likely to be non-Hispanic Whites. Differences in the use of home dialysis (PD and HD) are largely driven by differences among individual dialysis centers or groups of centers, rather than by large-scale regional effects. Thus, the future use of PD or home HD will be driven by the proclivities of the largest dialysis providers, which, in turn, are driven by financial reimbursement.
                Bookmark

                Author and article information

                Journal
                TMT
                Telehealth and Medicine Today
                Partners in Digital Health
                2471-6960
                25 September 2019
                2019
                : 4
                : 10.30953/tmt.v4.155
                Affiliations
                [0001]Division of Nephrology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
                Author notes
                Corresponding Author: Alexander Brauer, 5142 MFCB, 1685 Highland Avenue, Madison, WI 53705, USA. abrauer2@ 123456wisc.edu
                Article
                155
                10.30953/tmt.v4.155
                06234cfb-8cfd-45d7-90c2-9d81730ff812
                © 2019 Alexander Brauer

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, adapt, enhance this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                Categories
                Research and Innovation

                Social & Information networks,General medicine,General life sciences,Health & Social care,Public health,Hardware architecture
                Peritoneal Dialysis,Public Health,Nephrology,Telehealth,Hemodialysis,Rural

                Comments

                Comment on this article