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Telemedicine for Pediatric Nephrology: Perspectives on COVID-19, Future Practices, and Work Flow Changes
Kidney Medicine
  • Rupesh Raina, Akron General Medical Center
  • Nikhil Nair, Case Western Reserve University
  • Aditya Sharma, Northeast Ohio Medical University (NEOMED)
  • Ronith Chakraborty, Burrell College of Osteopathic Medicine
  • Sarah Rush, Akron Children's Hospital
  • Hui Kim Yap
  • Sidharth K. Sethi
  • Arvind Bagga
  • Pankaj Hari
  • Timothy Bunchman
  • Sharon Bartosh
  • Katherine Twombley
  • Gaurav Kapur
  • Mignon McCulloch
  • Guido Filler
  • Bradley A. Warady
  • Maria Díaz-González de Ferris
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Although the use of telemedicine in rural areas has increased steadily over the years, its use was rapidly implemented during the onset of the coronavirus disease 2019 (COVID-19) crisis. Due to this rapid implementation, there is a lack of standardized work flows to assess and treat for various nephrotic conditions, symptoms, treatment modalities, and transition processes in the pediatric population. To provide a foundation/suggestion for future standardized work flows, the authors of this report have developed standardized work flows using the Delphi method. These work flows were informed based on results from cross-sectional surveys directed to patients and providers. Most patients and providers were satisfied, 87% and 71%, respectively, with their telemedicine visits. Common issues that were raised with the use of telemedicine included difficulty procuring physical laboratory results and a lack of personal warmth during telemedicine visits. The work flows created based on these suggestions will both enhance safety in treating patients and allow for the best possible care.

Citation Information
Rupesh Raina, Nikhil Nair, Aditya Sharma, Ronith Chakraborty, et al.. "Telemedicine for Pediatric Nephrology: Perspectives on COVID-19, Future Practices, and Work Flow Changes" Kidney Medicine Vol. 3 Iss. 3 (2021) p. 412 - 425
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