ArticleJournal of medical Internet research2019
Racial, Ethnic, and Socioeconomic Disparities in Web-Based Patient Portal Usage Among Kidney and Liver Transplant Recipients: Cross-Sectional Study.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Influencing Factors of Mobile Health Apps in Kidney Transplant Care: Systematic Review Using the Consolidated Framework for Implementation Research.JMIR medical informatics · 2026Pooled it
- Sociodemographic and Socioeconomic Determinants for the Usage of Digital Patient Portals in Hospitals: Systematic Review and Meta-Analysis on the Digital Divide.Journal of medical Internet research · 2025Pooled it
- The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review.Journal of medical Internet research · 2021Pooled it
- Opportunities and Challenges When Using the Electronic Health Record for Practice-Integrated Patient-Facing Interventions: The e-Assist Colon Health Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- The impact of socio-economic disparities on kidney transplant outcomes: insights from a monocentric Italian study.Updates in surgery · 2026Article
- Sociodemographic Factors Associated with the Utilization of Digital Health Technologies Among Informal Caregivers: A Nationwide Study in the USA, 2022.Journal of racial and ethnic health disparities · 2026Article
- Article
- A novel approach to patient portal activation data to power equity improvements.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Self-Management Using eHealth Technologies for Liver Transplant Recipients: Scoping Review.Journal of medical Internet research · 2024Article
- Belatacept with time-limited tacrolimus coimmunosuppression modifies the 3-year risk of eplet mismatch in kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024Article
- Patient Portal Use and Risk of Readmissions in Decompensated Cirrhosis: Retrospective Study.JMIR formative research · 2023Article
- Design and evaluation of an educational mobile program for liver transplant patients.BMC health services research · 2023Article
- Assessing Equitable Recruitment in a Digital Health Trial for Asthma.Applied clinical informatics · 2023Article
- A Multi-Level Analysis of Individual and Neighborhood Factors Associated with Patient Portal Use among Adult Emergency Department Patients with Multimorbidity.International journal of environmental research and public health · 2023Article
- Geospatial Analysis of Organ Transplant Referral Regions.JAMA network open · 2022Article
- Electronic patient portal utilization by neurology patients and association with outcomes.Health informatics journal · 2020Article
- Modest rates and wide variation in timely access to repeat kidney transplantation in the United States.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020Article
- Challenges and opportunities using online portals to recruit diverse patients to behavioral trials.Journal of the American Medical Informatics Association : JAMIA · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundKidney and liver transplant recipients must manage a complex care regimen after kidney transplant. Although the use of Web-based patient portals is known to improve patient-provider communication and health outcomes in chronic disease populations by helping patients manage posttransplant care, disparities in access to and use of portals have been reported. Little is known about portal usage and disparities among kidney and liver transplant recipients.
objectiveThe aim of this study was to examine patient racial/ethnic, socioeconomic, and clinical characteristics associated with portal usage among kidney and liver transplant recipients.
methodsThe study included all adult kidney and liver transplant recipients (n=710) at a large academic transplant center in the Southeastern United States between March 2014 and November 2016. Electronic medical record data were linked with Cerner portal usage data. Patient portal use was defined as any portal activity (vs no activity) recorded in the Cerner Web-based portal, including viewing of health records, lab results, medication lists, and the use of secure messaging. Multivariable log-binomial regression was used to determine the patient demographic, clinical, and socioeconomic characteristics associated with portal usage, stratified by organ.
resultsAmong 710 transplant recipients (n=455 kidney, n=255 liver), 55.4% (252/455) of kidney recipients and 48.2% (123/255) of liver recipients used the patient portal. Black patients were less likely to use the portal versus white patients among both kidney (57% black vs 74% white) and liver (28% black vs 55% white) transplant recipients. In adjusted multivariable analyses, kidney transplant recipients were more likely to use the portal if they had higher education; among liver recipients, patients who were white versus black and had higher education were more likely to use the portal.
conclusionsDespite studies showing that patient portals have the potential to benefit transplant recipients as a tool for health management, racial and socioeconomic disparities should be considered before widespread implementation. Transplant centers should include portal training and support to all patients to encourage use, given its potential to improve outcomes.
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