Telehealth interventions, including mobile health applications and remote monitoring, demonstrated positive effects on self-management, disease control, and quality of life in patients with chronic kidney disease.
Systematic Review (n=723)
No
Do telehealth and mobile health applications improve clinical parameters and quality of life in adult patients with chronic kidney disease?
Telehealth applications can be an effective tool in managing chronic kidney disease, particularly for monitoring key health indicators and improving quality of life, though evidence for biochemical improvements remains mixed.
Introduction. Chronic kidney disease (CKD) is a long-term condition affecting over 800 million individuals worldwide, accounting for more than 10% of the global population. Effective management of CKD is essential to prevent disease progression. With technological advancements, various mobile health applications are now utilized to treat and manage kidney diseases. This study aims to examine the use of telehealth interventions in CKD care management and systematically evaluate the effectiveness of studies conducted in this context. Methods. This study retrieved data from studies indexed in the Web of Science, PubMed, and Scopus databases, published between 2014 and 2024. The search keywords included “chronic kidney disease” OR “CKD,” “telehealth,” “mobile,” “mhealth,” AND “dialysis,” “experimental.” This systematic review incorporated all full-text randomized controlled trials (RCTs) published in English that met the inclusion criteria. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Randomized Controlled Trials. Results. This systematic review included all full-text English-language RCTs, identifying 9,477 records in the initial search. Six studies met the inclusion criteria and were included in the review following evaluation. Since only RCTs were considered, the study design remained homogeneous. However, heterogeneity was observed in the measured outcomes. The most frequently reported outcome measures included patient laboratory findings and quality-of-life scores. Sample sizes varied across studies, with intervention group sizes ranging from 24 to 169 participants. Conclusion. Telehealth interventions, including mobile health applications, video visits, and remote monitoring, have demonstrated positive effects on self-management, disease control, and quality of life in patients with CKD. The findings suggest that telehealth applications can be an effective tool in managing CKD, particularly monitoring key health indicators such as blood pressure and laboratory values.
Uysal et al. (Sat,) conducted a systematic review in Chronic Kidney Disease (n=723). Telehealth and mobile health applications vs. Standard care or non-telehealth interventions was evaluated on Patient laboratory findings and quality-of-life scores. Telehealth interventions, including mobile health applications and remote monitoring, demonstrated positive effects on self-management, disease control, and quality of life in patients with chronic kidney disease.