Evidence map›Paper›PMID 30587934›Full record

ArticlePatient preference and adherence2018

Improving safety and efficiency in care: multi-stakeholders' perceptions associated with a peritoneal dialysis virtual care solution.

Lianne Jeffs, Trevor Jamieson, Marianne Saragosa, Geetha Mukerji, Arsh K Jain, Rachel Man, Laura Desveaux, James Shaw, Payal Agarwal, Jennifer M Hensel and 4 more

Abstract read
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

14 authors.

Lianne JeffsSinai Health System, Toronto, ON M5G 1X5, Canada, lianne.jeffs@sinaihealthsystem.ca.
Trevor JamiesonDepartment of Medicine, University of Toronto, Division of General Internal Medicine, St Michael's Hospital, Women's College Hospital, Toronto, ON M5G 1WB, Canada.
Marianne SaragosaInstitute for Health System Solutions and Virtual Care (WIHV), Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Geetha MukerjiInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5S 1B2, Canada, lianne.jeffs@sinaihealthsystem.ca.
Arsh K JainLondon Health Sciences Centre, London, ON N6A 5W9, Canada.
Rachel ManLondon Health Sciences Centre, London, ON N6A 5W9, Canada.
Laura DesveauxInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5S 1B2, Canada, lianne.jeffs@sinaihealthsystem.ca.
James ShawInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5S 1B2, Canada, lianne.jeffs@sinaihealthsystem.ca.
Payal AgarwalInstitute for Health System Solutions and Virtual Care (WIHV), Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Jennifer M HenselInstitute for Health System Solutions and Virtual Care (WIHV), Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Maria MaioneSt Michael's Hospital, Toronto, ON M5G 1WB, Canada.
Megan NguyenInstitute for Health System Solutions and Virtual Care (WIHV), Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Nike OnabajoInstitute for Health System Solutions and Virtual Care (WIHV), Women's College Hospital, Toronto, ON M5S 1B2, Canada.
R Sacha BhatiaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5S 1B2, Canada, lianne.jeffs@sinaihealthsystem.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough there is a growing body of literature on the outcomes and impacts of remote home management with peritoneal dialysis (PD) patients, less is understood how this virtual care solution impacts the quality and efficiency of the healthcare system care. In this context, a study was undertaken to understand the perceptions of patients and their caregivers, healthcare providers, health system decision makers, and vendors associated with a remote monitoring and tracking solution aimed at enhancing the outcomes and experiences of chronic kidney disease (CKD) patients receiving PD at home.

methodsA qualitative design using semi-structured interviews with 25 stakeholders was used in this study. Narrative data were analyzed by a thematic analysis approach.

resultsThe following two themes emerged from the data: (1) leveraging data to monitor and intervene to keep patients safe and (2) increasing efficiencies and having control over supplies. DISCUSSION: Our study findings elucidated the ability of patients (and in some cases, caregivers) to monitor and trend their data and order and track directly on-line their dialysis supplies were key to their active participation in managing their CKD and keeping them safe at home. Their active participation and functionality of the virtual care solution also led to enhanced efficiencies (eg, process faster, easier, convenient, time savings) for both patients and healthcare providers.

conclusionThe virtual care solution showed promising signs of a patient-centric approach and may serve as a blueprint for other virtual care solutions for chronic disease management.

Indexed as

chronic kidney diseasepatient centric careperitoneal dialysisqualitative researchvirtual care

Identifiers

PMID30587934
PMCPMC6294168

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.