ArticlePediatric nephrology (Berlin, Germany)2024
Cost analysis of telemedicine use in paediatric nephrology-the LMIC perspective.
Article in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reducing outpatient wait times through telemedicine: a systematic review and quantitative analysis.BMJ open · 2025Pooled it
- Greener care, smarter spending: economic opportunities in sustainable nephrology.Clinical kidney journal · 2026Review
- Pediatric kidney replacement therapies in low-to-middle income countries: a review and white paper.Pediatric nephrology (Berlin, Germany) · 2026Review
- Mind the gap in kidney care: Translating what we know into what we do.Nephrology (Carlton, Vic.) · 2025Article
- Mind the gap in kidney care: translating what we know into what we do.Kidney research and clinical practice · 2025Article
- Mind the gap in kidney care: translating what we know into what we do.Clinical and experimental nephrology · 2024Review
- Setting priorities in outpatient cardiovascular care to guarantee equitable access: the case of Tuscany region.Research in health services & regions · 2024Article
- Mind the Gap in Kidney Care: Translating What We Know Into What We Do.American journal of hypertension · 2024Article
- Mind the Gap in Kidney Care: Translating What We Know into What We Do.Kidney international reports · 2024Article
- Provision of pediatric nephrology services in low-middle-income countries.Pediatric nephrology (Berlin, Germany) · 2024Article
- Mind the gap in kidney care: Translating what we know into what we do.Journal of family medicine and primary care · 2024Article
- The impact of telemedicine on pediatric type 1 diabetes management: benefits, challenges, and future directions.Frontiers in endocrinology · 2024Review
- Mind the Gap in Kidney Care: Translating What We Know Into What We do.Canadian journal of kidney health and disease · 2024Article
- Mind the gap in kidney care: translating what we know into what we do.Jornal brasileiro de nefrologia · 2024Article
- Mind the Gap in Kidney Care: Translating What We Know into What We Do.Blood purification · 2024Article
- Mind the Gap in Kidney Care: Translating What We Know into What We Do.Indian journal of nephrologyArticle
- Usefulness of Telemedicine in Nephrology: The Role Beyond COVID-19.Indian journal of nephrologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe overall cost of managing chronic diseases is a significant barrier to accessing complete and timely healthcare, especially in rural and geographically isolated areas. This cost disparity becomes more pronounced in the case of children and more so in under-resourced regions of the world. In the era of COVID-19, as the need for physical distancing increased, there was a transition in approach to healthcare provision to telemedicine consultations. This study evaluates the cost saving using teleconsultations in a paediatric nephrology clinic.
methodsThis prospective cohort study was conducted at AIIMS Jodhpur, a tertiary care centre in western Rajasthan from March 2021 to October 2022. All consecutive paediatric (29 days-18 years) patients attending telemedicine services for kidney-related illness were enrolled. Basic demographic details were collected. Cost analysis was done after 6 months, regarding perceived cost savings for the patient and family by using telehealth for follow-up during 6 months starting from enrolment.
resultsA total of 112 patients were enrolled; 266 teleconsultations attended; 109 patients who could be followed up saved INR 457,900 during 6 months of follow-up. The average cost saving was INR - 1577/patient/visit. Patients saved 4.99% of the family income (median 2.16% (IQR 0.66-5.5)). The highest expenditure per visit was incurred for food and transport. The median distance from the residence to the clinic was 122.5 km (IQR 30-250). Over the 6-month study period, patients saved a travel distance of 83,274 km (743 km/patient).
conclusionsThe use of telemedicine as a follow-up method helps save significant costs and distances travelled by patients. A higher-resolution version of the Graphical abstract is available as Supplementary information.
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Registered trials
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