Evidence map›Paper›PMID 39945199›Full record

ArticleClinical transplantation2025

Hybrid Telemedicine and In-Person Care for Kidney Transplant Follow-Up: A Qualitative Study.

Suad Esayed, Ellie Kim, Hannah C Sung, Abdula Al-Seraji, Simeon Adeyemo, Hayden Troutt, Ekamol Tantisattamoa, Antoney Ferrey, Uttam G Reddy, Fatima T Malik and 5 more

Abstract read
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In one paragraph

Article in Clinical transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Suad EsayedDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
Ellie KimDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Hannah C SungDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Abdula Al-SerajiDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
Simeon AdeyemoDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
Hayden TrouttDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
Ekamol TantisattamoaDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.ORCID https://orcid.org/0000-0003-0883-6892
Antoney FerreyDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
Uttam G ReddyDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
Fatima T MalikDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.
Robert R RedfieldDepartment of Surgery, University of California Irvine School of Medicine, Orange, California, USA.
Hirohito IchiiDepartment of Surgery, University of California Irvine School of Medicine, Orange, California, USA.
Abimereki D MuzaaleDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Divyanshu MalhotraDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Fawaz Al AmmaryDepartment of Medicine, University of California Irvine School of Medicine, Orange, California, USA.ORCID https://orcid.org/0000-0003-0928-2860

Funding

Telemedicine for Evaluation and Counseling of Living Kidney Donor CandidatesK23DK129820 · NIDDK · UNIVERSITY OF CALIFORNIA-IRVINE · PI AL AMMARY, FAWAZ · 2021 to 2025
$985k
Perioperative and long-term risks following nephrectomy in older live kidney donorsK08AG065520 · NIA · JOHNS HOPKINS UNIVERSITY · PI MUZAALE, ABIMEREKI D · 2020 to 2024
$855k
NIA NIH HHS K08 AG065520NIA NIH HHS K08AG065520NIA NIH HHS K23DK129820NIDDK NIH HHS K23 DK129820
6 · The paper itself

Abstract

backgroundKidney transplant recipients are immunocompromised and require lifelong follow-up. Recipients face geographic, socioeconomic, and logistical challenges when seeking follow-up that can be alleviated using telemedicine. We aimed to understand patient experiences and preferences regarding telemedicine video visits and highlight insights to advance adopting hybrid telemedicine/in-person transplant care.

methodsWe conducted qualitative in-depth, semi-structured interviews with kidney transplant recipients between November 18, 2022, and January 11, 2023. Participants had follow-up at ≥12 months post-transplant via telemedicine at a tertiary transplant center. Study enrollment continued until data saturation was reached (n = 20 participants) when no new information emerged from additional interviews. Transcripts were analyzed using inductive thematic analysis.

resultsParticipants median age was 58 years (IQR, 52-72), and 50% were female, 45% were White, 30% were Black, 15% were Asian, 10% were Hispanic/Other persons, and 30% were out-of-state residents. We identified the following seven themes: (1) reducing travel time, (2) minimizing financial burden (decreasing travel-related expenses and lost wages), (3) engaging patients within their comfort space, (4) establishing rapport with patients, (5) limitations of the virtual physical exam, (6) enhancing access to transplant providers (maximizing adherence to follow-up), and (7) lowering risk of communicable diseases.

conclusionsIntegrating telemedicine with in-person visits enhances post-transplant follow-up care. A hybrid model should leverage the strengths of both modalities, ensuring patient access to care and being patient-centered and flexible. Efforts are needed to advance technological tools in physical examination and human connection, and assess patient outcomes. Policymakers and healthcare systems need to incentivize the adoption and expansion of telemedicine in transplant care.

Indexed as

AftercareKidney TransplantationTelemedicineAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisQualitative Researchaccess to healthcareattitudescontinuity of carekidney transplantationqualitative researchtelehealth

Identifiers

PMID39945199
PMCPMC11822748

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.