Evidence map›Paper›PMID 30210802›Full record

ArticleCanadian journal of kidney health and disease2018

Effectiveness of a Web-Based eHealth Portal for Delivery of Care to Home Dialysis Patients: A Single-Arm Pilot Study.

James Kiberd, Usman Khan, Cynthia Stockman, Arun Radhakrishnan, Matthew Phillips, Bryce A Kiberd, Kenneth A West, Steven Soroka, Christopher Chan, Karthik K Tennankore

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of kidney health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02128347 (Effectiveness of an Online Portal for Delivery of Care to Home Dialysis Patients), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02128347 nacompletednot on this map

Effectiveness of an Online Portal for Delivery of Care to Home Dialysis Patients

TypeinterventionalSponsorKarthik TennankoreRan2014 to 2016Enrolled39ConditionsHemodialysis, Home, Peritoneal DialysisArmsElectronic Patient Portal
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

James KiberdDalhousie University, Halifax, NS, Canada.ORCID https://orcid.org/0000-0002-8048-779X
Usman KhanNova Scotia Health Authority, Halifax, Canada.
Cynthia StockmanNova Scotia Health Authority, Halifax, Canada.
Arun RadhakrishnanThe Ottawa Hospital, Ottawa, ON, Canada.
Matthew PhillipsNova Scotia Health Authority, Halifax, Canada.
Bryce A KiberdDalhousie University, Halifax, NS, Canada.
Kenneth A WestDalhousie University, Halifax, NS, Canada.
Steven SorokaDalhousie University, Halifax, NS, Canada.
Christopher ChanToronto General Hospital, ON, Canada.
Karthik K TennankoreDalhousie University, Halifax, NS, Canada.
Dalhousie University · CANova Scotia Health Authority · CAOttawa Hospital · CAToronto General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving a patient's experience with their care through an online interface for communication (an eHealth patient portal) has been shown to be beneficial in some studies of chronic disease populations. However, little is known about the effectiveness of an eHealth portal for delivery of care to home dialysis patients.

objectives

designSingle-arm pilot trial with recruitment over a 4-month period.

settingThe multidisciplinary home dialysis clinic in Halifax Nova Scotia Canada. PATIENTS: Adults (>18 years) receiving either home hemodialysis or peritoneal dialysis. MEASUREMENTS: Consumer quality index (CQI), health-related quality of life using the EuroQol Five Dimensions Questionnaire (EQ-5D), acceptability of the eHealth portal software (using the Acceptability E-scale), and satisfaction/perceived impact (using a modified questionnaire).

methodsA web-based application (McKesson, Canada, RelayHealth®) allowed patients and health care workers to communicate through a secure, password-protected online portal that permitted visualization of the messaging history by patient and provider. Patients and the home dialysis health care team had the ability to send messages related to patient care at any time including proposed changes to medication, instructions after a clinic visit, times of new appointments, upcoming investigations, or questions about care. Patient experience with home dialysis care using the CQI, health-related quality of life using the EQ-5D, acceptability of the eHealth portal software, and satisfaction/perceived impact were assessed at baseline, 6, and 12 months of follow-up (where applicable). Total minutes of telephone communication was assessed prior to and after adoption of the portal.

resultsOf the 41 patients who consented to join the portal, 27 (66%) created an online account. At baseline, patients had a positive experience for the care and communication provided by their nephrologist (CQI: 3.63, 95% confidence interval [CI]: 3.50-3.76) and this did not change significantly over the study period. Similar results were observed for the care provided by other nephrology health care team members. Health-related quality of life using the EQ-5D score was 0.80 (interquartile range [IQR]: 0.71-0.83) at baseline and this also did not significantly change over the study period. Patients were satisfied with the eHealth portal (mean Likert scale score of 6.5 ± 0.6 in overall satisfaction, scale ranging from 1 completely dissatisfied to 10 completely satisfied), but only a minority (N = 12) completed a satisfaction questionnaire. Median monthly phone usage decreased from 12.5 to 10 minutes ( LIMITATIONS: The study is limited by the small sample size, high rate of patient dropout, and limited response rate.

conclusionsIn this study of home dialysis patients, we identified that an eHealth communication did not lead to significant improvements in patient experience with home dialysis care.

trial registrationClinicalTrials.gov number NCT02128347.

Indexed as

consumer quality indexeHealthhealth-related quality of lifehemodialysisinformation and communication technologyperitoneal dialysisshared decision makingtelehealthweb-based portal

Identifiers

PMID30210802
PMCPMC6130084
OpenAlexW2891395600

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.