A retrospective review of telehealth services for children referred to a paediatric nephrologist

Trnka, Peter, White, Megan M., Renton, William D., McTaggart, Steven J., Burke, John R. and Smith, Anthony C. (2015) A retrospective review of telehealth services for children referred to a paediatric nephrologist. BMC Nephrology, 16 125: 1-7. doi:10.1186/s12882-015-0127-0


Author Trnka, Peter
White, Megan M.
Renton, William D.
McTaggart, Steven J.
Burke, John R.
Smith, Anthony C.
Title A retrospective review of telehealth services for children referred to a paediatric nephrologist
Journal name BMC Nephrology   Check publisher's open access policy
ISSN 1471-2369
Publication date 2015-08-01
Year available 2015
Sub-type Article (original research)
DOI 10.1186/s12882-015-0127-0
Open Access Status DOI
Volume 16
Issue 125
Start page 1
End page 7
Total pages 7
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2016
Language eng
Formatted abstract
Background
Telemedicine has emerged as an alternative mode of health care delivery over the last decade. To date, there is very limited published information in the field of telehealth and paediatric nephrology. The aim of this study was to review our experience with paediatric telenephrology in Queensland, Australia.

Methods
A retrospective audit of paediatric nephrology telehealth consultations to determine the nature of the telehealth activity, reasons for referral to telehealth, and to compare costs and potential savings of the telehealth service.

Results
During a ten-year period (2004 – 2013), 318 paediatric telenephrology consultations occurred for 168 patients (95 male) with the median age of 8 years (range 3 weeks to 24 years). Congenital anomalies of the kidney and urinary tract (30 %), followed by nephrotic syndrome (16 %), kidney transplant (12 %), and urinary tract infection (9 %) were the most common diagnoses. The estimated cost savings associated with telehealth were $31,837 in 2013 (average saving of $505 per consultation).

Conclusions
Our study suggests that paediatric telenephrology is a viable and economic method for patient assessment and follow up. The benefits include improved access to paediatric nephrology services for patients and their families, educational opportunity for the regional medical teams, and a substantial cost saving for the health care system.
Keyword Telemedicine
Telehealth
Paediatric nephrology
Kidney diseases
Cost savings
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Mon, 03 Aug 2015, 14:06:16 EST by Burke, Eliza on behalf of Centre for On-Line Health