Evidence map›Paper›PMID 31477119›Full record

ArticleBMC medical informatics and decision making2019

The nephrology eHealth-system of the metropolitan region of Hannover for digitalization of care, establishment of decision support systems and analysis of health care quality.

L Pape, N Schneider, T Schleef, U Junius-Walker, H Haller, R Brunkhorst, N Hellrung, H U Prokosch, B Haarbrandt, M Marschollek and 1 more

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Digital Transformation in Healthcare: Technology Acceptance and Its Applications.International journal of environmental research and public health · 2023
    Article
  4. 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

11 authors.

L PapeDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany. Pape.Lars@mh-hannover.de.ORCID 0000-0002-3635-6418
N SchneiderInstitute for General Practice, Hannover Medical School, Hannover, Germany.
T SchleefInstitute for General Practice, Hannover Medical School, Hannover, Germany.
U Junius-WalkerInstitute for General Practice, Hannover Medical School, Hannover, Germany.
H HallerDepartment of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany.
R BrunkhorstDepartment of Nephrology, Angiology and Rheumatology, KRH Regional Hospital Hannover Siloah, Hannover, Germany.
N HellrungSymeda GmbH, Braunschweig, Germany.
H U ProkoschDepartment of Medical Informatics, Biometrics and Epidemiology, Chair for Medical Informatics, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
B HaarbrandtPeter L. Reichertz Institute for Medical Informatics University of Braunschweig - Institute of Technology and Hannover Medical School, Hannover, Germany.
M MarschollekPeter L. Reichertz Institute for Medical Informatics University of Braunschweig - Institute of Technology and Hannover Medical School, Hannover, Germany.
M SchifferDepartment of Nephrology, University Hospital Erlangen, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEven though a high demand for sector spanning communication exists, so far no eHealth platform for nephrology is established within Germany. This leads to insufficient communication between medical providers and therefore suboptimal nephrologic care. In addition, Clinical Decision Support Systems have not been used in Nephrology until now.

methodsThe aim of NEPHRO-DIGITAL is to create a eHealth platform in the Hannover region that facilitates integrated, cross-sectoral data exchange and includes teleconsultation between outpatient nephrology, primary care, pediatricians and nephrology clinics to reduce communication deficits and prevent data loss, and to enable the creation and implementation of an interoperable clinical decision support system. This system will be based on input data from multiple sources for early identification of patients with cardiovascular comorbidity and progression of renal insufficiency. Especially patients will be able to enter and access their own data. A transfer to a second nephrology center (metropolitan region of Erlangen-Nuremburg) is included in the study to prove feasibility and scalability of the approach. DISCUSSION: A decision support system should lead to earlier therapeutic interventions and thereby improve the prognosis of patients as well as their treatment satisfaction and quality of life. The system will be integrated in the data integration centres of two large German university medicine consortia (HiGHmed ( highmed.org ) and MIRACUM ( miracum.org )).

trial registrationISRCTN16755335 (09.07.2019).

Indexed as

Decision Support Systems, ClinicalNephrologyPrimary Health CareQuality of Health CareTelemedicineExpert SystemsGermanyHumansQuality of LifeSoftwareClinical decision support systemeHealthGraft survivalInteroperabilityKidney transplantationPatient survivalQuality of life

Identifiers

PMID31477119
PMCPMC6720092

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Registered trials

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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.