Telemedicine in liver transplantation. Brief review of the literature
DOI:
https://doi.org/10.52784/27112330.117Keywords:
liver transplantation, telemedicine, medical informatics, remote consultation.Abstract
Introduction. Information and communication technology in health care is increasing in Colombia as in the rest of the world. The use of telemedicine for the management and monitoring of patientswith chronic pathologies has proved to be very useful. Specifically, in the area of liver transplantation telemedicine seeks, among other things, to reduce the difficulties of access to specialized care. Objective. To identify whether care through telemedicine in patients with liver transplantation has similar clinical outcomes in terms of mortality, graft rejection and adherence, compared with face-to-face care. Methodology. Brief literature review in MEDLINE, EMBASE, LILACS, Cochrane, Web Of Science and Google Scholar databases with the terms telemedicine and liver transplantation, without time or language limitation. We included cross-sectional studies, randomized and quasi-experimental clinical trials that evaluated adherence or complications associated with liver transplantation. The review of articles and data extraction was carried out independently by both authors and summarized qualitatively. Meta-analysis was not considered given the high expected heterogeneity of the studies. Results. A total of five articles were included, all with a high risk of bias, in centers in the United States. None of them evaluated mortality outcomes or graft rejection. Follow-up adherence was identified similar to traditional care. One study showed a significant decrease in the proportion of patients excluded to enter the transplant protocol. Conclusion. Studies are required to determine if care through telemedicine has clinical outcomes similar to personal care, during the follow-up of patients with liver transplantation.
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Starzl TE, Groth CG, Brettschneider L, Penn I, Fulginiti VA, Moon JB, et al. Orthotopic homotransplantation of the human liver. Ann Surg 1968;168:392-415. https://doi.org/10.1097/00000658-196809000-00009.
Singh S, Watt KD. Long-term medical management of the liver transplant recipient: What the primary care physician needs to know. Mayo Clin Proc 2012;87:779-790. https://doi.org/10.1016/j.mayocp.2012.02.021.
Santos O, Marín J, Muñoz O, Mena A, Guzmán C, Hoyos S, et al. Trasplante hepático en adultos: estado del arte. Rev Colomb Gastroenterol 2012;27:21-31.
Gutiérrez J, Guzmán C, Correa G, Restrepo J, Sepúlveda E, Yepes N, et al. Liver transplantation in Medellin, Colombia: Initial experience. Transplant Proc 2004;36:1677-1680. https://doi.org/10.1016/j.transproceed.2004.06.020.
Castells M, Tubella I, Sancho T, Roca M. La transición a la sociedad red. Barcelona; Editorial Ariel. 2007:238. Disponible en: https://dialnet.unirioja.es/servlet/libro?codigo=358484. Consultado: 15 de enero de 2017.
Congreso de la República. Ley 1419 de 2010. Por la cual se establecen los lineamientos para el desarrollo de la telesalud en Colombia. 1419/2010. 2010. Disponible en: http://wsp.presidencia.gov.co/Normativa/Leyes/Documents/ley141913122010.pdf.
Totten AM, Hansen RN, Wagner J, Stillman L, Ivlev I, Davis-O'Reilly C, et al. Telehealth for acute and chronic care consultations. Agency for Healthcare Research and Quality. 2019. Disponible en: https://effectivehealthcare.ahrq.gov/topics/telehealth-acute-chronic/research. Consultado: 19 de mayo de 2019. https://doi.org/10.23970/AHRQEPCCER216.
Goldberg DS, French B, Forde KA, Groeneveld PW, Bittermann T, Backus L, et al. Association of distance from a transplant center with access to waitlist placement, receipt of liver transplantation, and survival among US veterans. JAMA 2014;311:1234-1243. https://doi.org/10.1001/jama.2014.2520.
Barritt AS, Telloni SA, Potter CW, Gerber DA, Hayashi PH. Local access to subspecialty care influences the chance of receiving a liver transplant. Liver Transplant 2013;19:377-382. https://doi.org/10.1002/lt.23588.
Taner CB, Keaveny AP. Innovative care models after liver transplant. Clin Liver Dis 2017;10:68-71. https://doi.org/10.1002/cld.656.
Rodríguez CE. Telesalud en Colombia. Normas y Calidad;90:1-5.
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015;4:1. https://doi.org/10.1186/2046-4053-4-1.
Smith-Fergusson HC. Application of telehealth to overcome geographic disparities in liver transplantation within the veterans health administration. United States; University of Virginia. 2018. Disponible en: https://drive.google.com/drive/u/1/folders/1xa9-mTqxF_25nUOfehVLvTJiddEPsqRk. Consultado: 5 de febrero de 2019.
Bailey DE, Hendrix CC, Steinhauser KE, Stechuchak KM, Porter LS, Hudson J, et al. Randomized trial of an uncertainty self-management telephone intervention for patients awaiting liver transplant. Patient Educ Couns 2017;100:509-517. https://doi.org/10.1016/j.pec.2016.10.017.
Kelly SL, Steinberg EA, Suplee A, Upshaw NC, Campbell KR, Thomas JF, et al. Implementing a home-based telehealth group adherence intervention with adolescent transplant recipients [published online ahead of print 25 January 2019]. Telemed J E Health. https://doi.org/10.1089/tmj.2018.0164.
Le LB, Rahal HK, Viramontes MR, Meneses KG, Dong TS, Saab S. Patient satisfaction and healthcare utilization using telemedicine in liver transplant recipients. Dig Dis Sci 2019;64:1150-1157. https://doi.org/10.1007/s10620-018-5397-5.
Konjeti VR, Heuman D, Bajaj JS, Gilles H, Fuchs M, Tarkington P, et al. Telehealth-based evaluation identifies patients who are not candidates for liver transplantation. Clin Gastroenterol Hepatol 2019;17:207-209.e1. https://doi.org/10.1016/j.cgh.2018.04.048.
Konjeti VR, Heuman D, Bajaj JS, Gilles H, Fuchs M, John B. A Tele-health based technology can effectively triage liver transplant evaluations and minimize futile invasive testing in an integrated health delivery system. Gastroenterology 2017;152(suppl 1):S1190. https://doi.org/10.1016/S0016-5085(17)33968-9.
Totten AM, Womack DM, Eden KB, McDonagh MS, Griffin JC, Grusing S, et al. Telehealth: Mapping the evidence for patient outcomes from systematic reviews. Rockville, United States; Agency for Healthcare Research and Quality. 2016. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK379320/. Consultado: 25 de mayo de 2019.
U.S. National Library of Medicine. Clinicaltrials. gov. Telemedicine based remote home monitoring after liver transplantation. Cincinnati; University of Cincinnati. 2019. Disponible en: https://clinicaltrials.gov/ct2/show/NCT03878329. Consultado: 22 de abril de 2019.
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