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dc.contributor.authorCartwright, Emmaen_US
dc.contributor.authorGoh, Zack Zhong Shengen_US
dc.contributor.authorFoo, Marjorieen_US
dc.contributor.authorChan, Choong M.en_US
dc.contributor.authorHtay, Htayen_US
dc.contributor.authorGriva, Konstadinaen_US
dc.identifier.citationCartwright, E., Goh, Z. Z. S., Foo, M., Chan, C. M., Htay, H. & Griva, K. (2021). eHealth interventions to support patients in delivering and managing peritoneal dialysis at home: a systematic review. Peritoneal Dialysis International, 41(1), 32-41.
dc.description.abstractPeritoneal dialysis (PD) requires patients to develop a variety of self-management skills in order to effectively deliver and manage their dialysis at home. eHealth interventions may provide patients with accessible information to develop the skills and knowledge they require to manage their treatment. This review aims to identify and evaluate 'active' eHealth interventions in supporting patients on PD. Six databases were included within the review using the terms Peritoneal Dialysis, eHealth, telemedicine and remote consultation. Studies which explored patients who were delivering PD, an intervention where the main component involved a digital device and required active engagement from patients were included. The primary outcomes examined were identified using the core outcomes recommended by the Standardised Outcomes in Nephrology in Peritoneal Dialysis initiative (PD infection, cardiovascular disease, mortality, PD failure and life participation). Hospitalisation rates were also considered as a primary outcome. Secondary outcomes included quality of life, patient skills, patient knowledge and satisfaction. Using the inclusion criteria, 15 studies (1334 participants) were included in the study. The effectiveness of eHealth interventions was mixed. Due to high heterogeneity, a meta-analysis was not possible, and quality of evidence was low. Risk of bias across the randomised studies was unclear but bias across non-randomised studies was identified as critical. There were no reported adverse effects of eHealth interventions within the included studies. Despite the high interest of eHealth interventions in PD, good quality evidence is needed to explore their effectiveness before a wider application of eHealth interventions.en_US
dc.relation.ispartofPeritoneal Dialysis Internationalen_US
dc.rights© 2020 The Author(s). All rights reserved.en_US
dc.titleeHealth interventions to support patients in delivering and managing peritoneal dialysis at home: a systematic reviewen_US
dc.typeJournal Articleen
dc.contributor.schoolLee Kong Chian School of Medicine (LKCMedicine)en_US
dc.subject.keywordsDigital Healthen_US
dc.subject.keywordsPeritoneal Dialysisen_US
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