Evidence map›Paper›PMID 35321893›Full record

ArticleBMJ open2022

Global eHealth capacity: secondary analysis of WHO data on eHealth and implications for kidney care delivery in low-resource settings.

Ikechi G Okpechi, Shezel Muneer, Feng Ye, Deenaz Zaidi, Anukul Ghimire, Mohammed M Tinwala, Syed Saad, Mohamed A Osman, Joseph Lunyera, Marcello Tonelli and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07186361 (Remote Symptom Assessment And Management Via Mobile App For Adults With Chronic Kidney Disease Living In Vietnam), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT07186361 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Remote Symptom Assessment And Management Via Mobile App For Adults With Chronic Kidney Disease Living In Vietnam

TypeinterventionalSponsorGriffith UniversityRan2025 to 2027Enrolled60ConditionsChronic Kidney DiseaseArmsSymptom Assessment and Management Program (SAM-CKD) which is delivered via Smart Kidney mobile app
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
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

19 authors at 7 institutions in 6 countries.

Ikechi G OkpechiMedicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-6545-9715
Shezel MuneerDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Feng YeDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Deenaz ZaidiDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Anukul GhimireDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0001-9165-4920
Mohammed M TinwalaDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Syed SaadDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Mohamed A OsmanDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Joseph LunyeraDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Marcello TonelliDepartment of Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.ORCID 0000-0002-0846-3187
Fergus CaskeyDepartment of Medicine, University of Bristol Faculty of Medicine and Dentistry, Bristol, UK.
Cindy GeorgeNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa.ORCID 0000-0002-4561-0529
Andre P KengneNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, South Africa.
Charu MalikAdministration, International Society of Nephrology, Brussels, Belgium.
Sandrine DamsterAdministration, International Society of Nephrology, Brussels, Belgium.
Adeera LevinDivision of Nephrology, University of British Columbia, Vancouver, British Columbia, Canada.
David JohnsonDepartment of Medicine, The University of Queensland Faculty of Medicine and Biomedical Sciences, Herston, Queensland, Australia.
Vivekanand JhaDepartment of Medicine, The George Institute for Global Health India, New Delhi, Delhi, India.
Aminu K BelloDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada aminu1@ualberta.ca.
University of Alberta · CASouth African Medical Research Council · ZAGeorge Institute for Global Health · INThe University of Queensland · AUUniversity of Bristol · GBUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the use of electronic health (eHealth) in support of health coverage for kidney care across International Society of Nephrology (ISN) regions.

designSecondary analysis of WHO survey on eHealth as well as use of data from the World Bank, and Internet World Stats on global eHealth services.

settingA web-based survey on the use of eHealth in support of universal health coverage.

participants125 WHO member states provided response. PRIMARY OUTCOME MEASURES: Availability of eHealth services (eg, electronic health records, telehealth, etc) and governance frameworks (policies) for kidney care across ISN regions.

resultsThe survey conducted by the WHO received responses from 125 (64.4%) member states, representing 4.4 billion people globally. The number of mobile cellular subscriptions was <100% of the population in Africa, South Asia, North America and North East Asia; the percentage of internet users increased from 2015 to 2020 in all regions. Western Europe had the highest percentage of internet users in all the periods: 2015 (82.0%), 2019 (90.7%) and 2020 (93.9%); Africa had the least: 9.8%, 21.8% and 31.4%, respectively. The North East Asia region had the highest availability of national electronic health record system (75%) and electronic learning access in medical schools (100%), with the lowest in Africa (27% and 39%, respectively). Policies concerning governance aspects of eHealth (eg, privacy, liability, data sharing) were more widely available in high-income countries (55%-93%) than in low-income countries (0%-47%), while access to mobile health for treatment adherence was more available in low-income countries (21%) than in high-income countries (7%).

conclusionThe penetration of eHealth services across ISN regions is suboptimal, particularly in low-income countries. Increasing utilisation of internet communication technologies provides an opportunity to improve access to kidney education and care globally, especially in low-income countries.

Indexed as

Delivery of Health CareTelemedicineElectronicsHumansKidneyWorld Health Organizationchronic renal failureCOVID-19international health servicesorganisation of health services

Identifiers

PMID35321893
PMCPMC8943769
OpenAlexW4220877666

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.