Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept

Abstract Comorbidities and socioeconomic barriers often limit patient adherence and self-management with hemodialysis. Missed sessions, often associated with communication barriers, can result in emergency dialysis and avoidable hospitalizations. This proof of concept study explored using a novel di...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	A. Som, J. Groenendyk, T. An, K. Patel, R. Peters, G. Polites, W. R. Ross
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/54c89e27be8841d89a9747e12b58b3da
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:54c89e27be8841d89a9747e12b58b3da
record_format	dspace
spelling	oai:doaj.org-article:54c89e27be8841d89a9747e12b58b3da2021-12-02T11:52:28ZImproving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept10.1038/s41598-017-03184-z2045-2322https://doaj.org/article/54c89e27be8841d89a9747e12b58b3da2017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-03184-zhttps://doaj.org/toc/2045-2322Abstract Comorbidities and socioeconomic barriers often limit patient adherence and self-management with hemodialysis. Missed sessions, often associated with communication barriers, can result in emergency dialysis and avoidable hospitalizations. This proof of concept study explored using a novel digital-messaging platform, EpxDialysis, to improve patient-to-dialysis center communication via widely available text messaging and telephone technology. A randomized controlled trial was conducted through Washington University-affiliated hemodialysis centers involving ESRD patients with poor attendance, defined as missing 2–6 sessions over the preceding 12 weeks. A cross-over study design evaluated appointment adherence between intervention and control groups. Comparing nonadherence rates eight weeks prior to enrollment, median appointment adherence after using the system increased by 75%, and median number of unintended hospitalization days fell by 31%. A conservative cost-benefit analysis of EpxDialysis demonstrates a 1:36 savings ratio from appointment adherence. EpxDialysis is a low-risk, cost-effective, intervention for increasing hemodialysis adherence in high-risk patients, especially at centers caring for vulnerable and low-income patients.A. SomJ. GroenendykT. AnK. PatelR. PetersG. PolitesW. R. RossNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-7 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q A. Som J. Groenendyk T. An K. Patel R. Peters G. Polites W. R. Ross Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept
description	Abstract Comorbidities and socioeconomic barriers often limit patient adherence and self-management with hemodialysis. Missed sessions, often associated with communication barriers, can result in emergency dialysis and avoidable hospitalizations. This proof of concept study explored using a novel digital-messaging platform, EpxDialysis, to improve patient-to-dialysis center communication via widely available text messaging and telephone technology. A randomized controlled trial was conducted through Washington University-affiliated hemodialysis centers involving ESRD patients with poor attendance, defined as missing 2–6 sessions over the preceding 12 weeks. A cross-over study design evaluated appointment adherence between intervention and control groups. Comparing nonadherence rates eight weeks prior to enrollment, median appointment adherence after using the system increased by 75%, and median number of unintended hospitalization days fell by 31%. A conservative cost-benefit analysis of EpxDialysis demonstrates a 1:36 savings ratio from appointment adherence. EpxDialysis is a low-risk, cost-effective, intervention for increasing hemodialysis adherence in high-risk patients, especially at centers caring for vulnerable and low-income patients.
format	article
author	A. Som J. Groenendyk T. An K. Patel R. Peters G. Polites W. R. Ross
author_facet	A. Som J. Groenendyk T. An K. Patel R. Peters G. Polites W. R. Ross
author_sort	A. Som
title	Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept
title_short	Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept
title_full	Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept
title_fullStr	Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept
title_full_unstemmed	Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept
title_sort	improving dialysis adherence for high risk patients using automated messaging: proof of concept
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/54c89e27be8841d89a9747e12b58b3da
work_keys_str_mv	AT asom improvingdialysisadherenceforhighriskpatientsusingautomatedmessagingproofofconcept AT jgroenendyk improvingdialysisadherenceforhighriskpatientsusingautomatedmessagingproofofconcept AT tan improvingdialysisadherenceforhighriskpatientsusingautomatedmessagingproofofconcept AT kpatel improvingdialysisadherenceforhighriskpatientsusingautomatedmessagingproofofconcept AT rpeters improvingdialysisadherenceforhighriskpatientsusingautomatedmessagingproofofconcept AT gpolites improvingdialysisadherenceforhighriskpatientsusingautomatedmessagingproofofconcept AT wrross improvingdialysisadherenceforhighriskpatientsusingautomatedmessagingproofofconcept
_version_	1718395046962659328

Improving Dialysis Adherence for High Risk Patients Using Automated Messaging: Proof of Concept

Ejemplares similares