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- Page navigation anchor for E-consultation for Nephrogy and other chronic disease specialties in Bradford UKE-consultation for Nephrogy and other chronic disease specialties in Bradford UKShow More
We read with interest the reported benefits of a nephrology e- consultation service in the Netherlands. As discussed by the authors, these findings are very similar to those of our original evaluation of an e-consultation service in Bradford, UK. There is certainly a growing interest in telenephrology as a means of improving care for patients with chronic kidney disease (Nephrol Dial Transplant 3013 28:972-981). We would...
Competing Interests: None declared. - Page navigation anchor for Author response: learning effect of telenephrologyAuthor response: learning effect of telenephrologyShow More
Dear colleague de Lusignan,
Thank you for your reaction on our article 'Initial implementation of a web-based consultation process for patients with chronic kidney disease.' Indeed, we agree, a study on the learning effect of telenephrology would be very interesting and important. A rise in knowledge and confidence will probably lead to a more adequate referral pattern. At least as important is the effect of tel...
Competing Interests: None declared. - Page navigation anchor for Formalising consultant contactFormalising consultant contactShow More
This study utilises a web-based system in formalising the contact between primary care and secondary care physicians. As well as demonstrating an effect on clinical outcomes, it shows that it is possible to formalise this contact, pulling information through from the electronic health record and providing an interface for entering/providing information relating to individual patients. The security and clinical safety this...
Competing Interests: None declared. - Page navigation anchor for Chronic kidney disease management using joined up IT really works!Chronic kidney disease management using joined up IT really works!It is good to see another example of the benefits of electronically integrated care for patients with CKD. Nephrology Is particularly well suited to this way of working as it is commonly possible to provide useful advice and guidance based upon patient-related data without the patient being present. We have seen a dramatic improvement in the standard of primary care of patients with CKD in the UK over recent years. By focussing o...Show MoreCompeting Interests: None declared.
- Page navigation anchor for Will the provision of advice change future patterns of GP referral?Will the provision of advice change future patterns of GP referral?Show More
I enjoyed reading this interesting and well conducted study [1]. It would be interesting to know the extent to which learning took place over time and if this might affect long term referral?
We found as part of a diagnostic analysis prior to commencing the Quality Improvement in Chronic Kidney Disease (QICKD) Trial that practitioners had disparate views about CKD, were not certain it was a disease and that they woul...
Competing Interests: None declared.