Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Dec 17, 2018
Open Peer Review Period: Dec 20, 2018 - Jan 24, 2019
Date Accepted: Apr 5, 2019
(closed for review but you can still tweet)
Telemedicine-based Registration System for the Management of Renal Anemia in Maintenance Hemodialysis Patients: A Multicenter Experience
ABSTRACT
Background:
Renal anemia is one of the most important complications in patients undergoing maintenance hemodialysis (MHD). However, most current dialysis registration systems worldwide fail to reflect the anemia status of MHD patients in time. On the other hand, telehealth-based dialysis registration systems with the advantage of real-time monitoring has gradually been applied to the management of chronic diseases.
Objective:
The objective of our study was to evaluate the impact of a telehealth-based dialysis registration system on MHD patients, in terms of renal anemia control.
Methods:
The Red China project aimed to develop a dialysis registration system based on the WeChat mobile platform. Demographic and baseline laboratory parameters such as age, gender, primary disease, dialysis age, and baseline creatinine were recorded using this system and hemoglobin (Hb) levels and hematocrit(Hct) were recorded monthly. The platform then generated a Hb and Hct statistics report for each hemodialysis(HD) center monthly, including the detection rate, target rate, and the distribution level of Hb, and released it to physicians via the WeChat mobile phone application. The physicians were then able to treat the individual’s anemia appropriately on the basis of this report. We analyzed the demographic and baseline laboratory parameters, detection rate, target rate, and average level and distribution of Hb 28 months after the launch of the project.
Results:
A total of 8,392 MHD patients from 28 HD centers in Shanghai were enrolled from June 2015 to October 2017. The detection rate of Hb increased from 54.18% to 73.61% (p<0.001), the target rate of Hb increased from 47.55% to 56.07% (p<0.001), and the average level Hb rose from 10.83 + 1. 60 to 11.07 + 1.60 g/dL (p<0.001). And the proportion of patients with Hb ≥11 but <13 g/dL increased from 40.40% to 47.48%.
Conclusions:
This telehealth-based dialysis registration system can provide timely reporting of the anemia status in MHD patients, which may improve the awareness of anemia, and the attention to and compliance with anemia monitoring.
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.