Why the study?
Nephrology has seen an uptake in transition to remote care delivery, but the effect of telenephrology care on CKD progression is not well defined.
Does telenephrology care prevent eGFR decline in patients with CKD compared to standard in-person care?
Population
1098 patients seen across 4230 visits at a VA nephrology clinic
Comparison
Telenephrology (>50% virtual visits) vs in-person care (≤50% virtual visits)
Design
Observational cohort study
Follow-up
2-year period
Authors
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Telenephrology was associated with similar eGFR trajectories versus in-person care; leaves open its scalability for CKD and requires randomized confirmation.
Does telenephrology care prevent eGFR decline in patients with CKD compared to standard in-person care?
Telenephrology in a hybrid system is associated with similar CKD progression outcomes as standard in-person care, suggesting it is a viable alternative for managing medically complex patients.
Scherzer et al. (2024) studied this question.