Telemedicine and dialysis

J. F. Winchester, W. G. Tohme, B. Levine, J. Collmann, K. A. Schulman, J. W. Turner, S. Rathore, N. Khanafer, A. Alaoui, N. Pania, A. Al-Aama, L. Hoffman, M. Hofilena, S. K. Mun

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

2 Scopus citations


More than 280,000 patients are treated by hemodialysis in the USA. The first-year annual adjusted mortality is very high and, in part, relates to the dose of the delivered dialysis (Kt/V). Using multimedia telemedicine, we have been following dialysis patients for over one year with a weekly "telemedicine visit" in addition to weekly physician visits, in an attempt to maintain compliance with the dialysis schedule, in addition to comprehensive medical consultation. Transmission is achieved with T1 lines from the clinic to the physician's office or home. The telemedicine session uses electronic patient folders containing relevant medical details, digitized X-rays, lab values, etc. We are able to achieve high-quality videoconferencing, capture still or video images, record remote stethoscope sounds, capture local or remote data and modify the medical record. Our goal is to increase the quantity of delivered dialysis and thereby improve quality of life and patient satisfaction, and reduce the costs of medical care, at the same time maintaining patient confidentiality. Appropriate measures to ensure data integrity and patient confidentiality have been integrated into the study. Questionnaires are also utilized to measure, on an ongoing basis, quality of life and patient satisfaction, while a weekly questionnaire captures any medical event taking place. The project is nearing completion, with subsequent data analysis to take place in the following six months. The system and procedures we have employed are accepted enthusiastically by patients and staff alike, and have aided in patient management.

Original languageEnglish
Title of host publicationProceedings - Pacific Medical Technology Symposium
Subtitle of host publicationTranscending Time, Distance and Structural Barriers, PACMEDTek 1998
EditorsRosemary Nelson, Seong K. Mun, Anthony Gelish
PublisherInstitute of Electrical and Electronics Engineers Inc.
Number of pages3
ISBN (Electronic)0818686677, 9780818686672
StatePublished - 1998
Externally publishedYes
Event1998 Pacific Medical Technology Symposium, PACMEDTek 1998 - Honolulu, United States
Duration: 17 Aug 199820 Aug 1998

Publication series

NameProceedings - Pacific Medical Technology Symposium: Transcending Time, Distance and Structural Barriers, PACMEDTek 1998


Conference1998 Pacific Medical Technology Symposium, PACMEDTek 1998
Country/TerritoryUnited States


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