机构：[1]Department of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China[2]Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China[3]Department of Nephrology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China[4]Department of Nephrology, The Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China[5]Department of Nephrology, Tenth People's Hospital of Tongji University, Shanghai, China[6]Department of Nephrology, Changhai Hospital of Shanghai, Shanghai, China[7]Department of Nephrology, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai, China[8]Department of Nephrology, Yangpu Hospital Affiliated to Tongji University, Shanghai, China[9]Department of Nephrology, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai, China[10]Department of Nephrology, Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China[11]Department of Nephrology, Central Hospital of Shanghai Jiading District, Shanghai, China[12]Department of Nephrology, Shanghai East Hospital, Shanghai, China[13]Department of Nephrology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China[14]Department of Nephrology, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China[15]Department of Nephrology, Shanghai Pudong Hospital, Shanghai, China[16]Department of Nephrology, Minhang Hospital, Fudan University, Shanghai, China[17]Department of Nephrology, Jiulingwu Hospital, Shanghai, China[18]Department of Nephrology, Shanghai Pudong New District Zhoupu Hospital, Shanghai, China[19]Department of Nephrology, Navy Characteristic Medical Center, Shanghai, China[20]Department of Nephrology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China[21]Department of Nephrology, Zhabei Central Hospital, Jingan District, Shanghai, China[22]Department of Nephrology, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China[23]Department of Nephrology, Jinshan Branch of Shanghai No. 6 People's Hospital, Shanghai, China[24]Department of Nephrology, Jinshan Hospital, Fudan University, Shanghai, China[25]Department of Nephrology and Rheumatology, Shanghai Fengxian Central Hospital, Shanghai, China[26]Department of Nephrology, Jingan District Central Hospital of Shanghai, Shanghai, China[27]Department of Nephrology, No. 9 People Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China[28]Department of Nephrology, Shanghai Songjiang District Central Hospital, Shanghai, China[29]Department of Nephrology, Shanghai General Hospital, Shanghai, China
Background: Renal anemia is one of the most important complications in patients on maintenance hemodialysis (MHD). Telehealth-based dialysis registration systems have the advantage of real-time monitoring and have gradually been applied to the management of chronic diseases. Objective: The objective of our study was to evaluate the impact of a telehealth-based dialysis registration system on patients on MHD in terms of renal anemia control. Methods: The Red China project aimed to develop a dialysis registration system based on the WeChat mobile platform. Demographic and baseline laboratory parameters such as age, gender, primary disease, dialysis age, and baseline creatinine levels were recorded using this system. In addition, the hemoglobin and hematocrit levels were recorded monthly. The platform then generated a hemoglobin and hematocrit statistics report for each hemodialysis center monthly, including the detection rate, target rate, and distribution of hemoglobin and released it to physicians via the WeChat mobile phone app. The physicians were then able to treat the individual's anemia appropriately by changing the doses of erythropoiesis-stimulating agents or iron use on the basis of this report. We analyzed the demographic and baseline laboratory parameters, detection rate, target rate, and average level and distribution of hemoglobin 28 months after the launch of the project. Results: A total of 8392 patients on MHD from 28 hemodialysis centers in Shanghai were enrolled from June 2015 to October 2017. The detection rate of hemoglobin increased from 54.18% to 73.61% (P<.001), the target rate of hemoglobin increased from 47.55% to 56.07% (P<.001), and the mean level of hemoglobin increased from 10.83 (SD 1. 60) g/dL to 11.07 (SD 1.60) g/dL (P<.001). In addition, the proportion of patients with hemoglobin levels >= 11 g/dL but <13 g/dL increased from 40.40% to 47.48%. Conclusions: This telehealth-based dialysis registration system can provide timely reporting of the anemia status in patients on MHD, which may improve the awareness of anemia and the attention to and compliance with anemia monitoring.
基金：
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81770666, 81570604]; Research Project of Shanghai Municipal Commission of Health and Family Planning [201740037]; Multicenter Clinical Research Project of Shanghai Jiao Tong University School of Medicine [DLY201805]; Shenyang Sansheng Pharmaceutical Co, Ltd
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类|2 区医学
小类|1 区卫生保健与服务1 区医学：信息
最新[2025]版：
大类|2 区医学
小类|2 区卫生保健与服务2 区医学：信息
JCR分区：
出版当年[2017]版：
Q1HEALTH CARE SCIENCES & SERVICESQ1MEDICAL INFORMATICS
最新[2023]版：
Q1HEALTH CARE SCIENCES & SERVICESQ1MEDICAL INFORMATICS
第一作者机构：[1]Department of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China[2]Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China[*1]Department of Nephrology, Renji Hospital,School of Medicine, Shanghai Jiao Tong University,Dongfang Road 1630,Shanghai,China
共同第一作者：
通讯作者：
通讯机构：[1]Department of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China[2]Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China[*1]Department of Nephrology, Renji Hospital,School of Medicine, Shanghai Jiao Tong University,Dongfang Road 1630,Shanghai,China
推荐引用方式(GB/T 7714)：
Ni Zhaohui,Jin Haijiao,Jiang Gengru,et al.A Telemedicine-Based Registration System for the Management of Renal Anemia in Patients on Maintenance Hemodialysis: Multicenter Study[J].JOURNAL OF MEDICAL INTERNET RESEARCH.2019,21(5):doi:10.2196/13168.
APA：
Ni, Zhaohui,Jin, Haijiao,Jiang, Gengru,Wang, Niansong,Peng, Ai...&Yu, Qing.(2019).A Telemedicine-Based Registration System for the Management of Renal Anemia in Patients on Maintenance Hemodialysis: Multicenter Study.JOURNAL OF MEDICAL INTERNET RESEARCH,21,(5)
MLA：
Ni, Zhaohui,et al."A Telemedicine-Based Registration System for the Management of Renal Anemia in Patients on Maintenance Hemodialysis: Multicenter Study".JOURNAL OF MEDICAL INTERNET RESEARCH 21..5(2019)
医学