Use and preferences regarding internet-based health care delivery in patients with chronic kidney disease.
BACKGROUND AND OBJECTIVES
Internet-based technologies play an increasingly important role in the management and outcome of patients with chronic kidney disease (CKD). The healthcare system is currently flooded with digital innovations and internet-based technologies as a consequence of the coronavirus disease 2019 (COVID-19) pandemic. However, information about the attitude of German CKD-patients with access to online tools towards the use of remote, internet-based interactions such as video conferencing, email, electronic medical records and apps in general and for health issues in particular, are missing.


DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS
To address the use, habits and willingness of CKD patients in handling internet-based technologies we conducted a nationwide cross-sectional questionnaire survey in adults with CKD.


RESULTS
We used 380 questionnaires from adult CKD patients (47.6% on dialysis, 43.7% transplanted and 8.7% CKD before renal replacement therapy) for analysis. Of these 18.9% denied using the internet at all (nonusers). Nonusers were significantly older (74.4 years, SD 11.4) than users (54.5 years, SD 14.5, p < 0.001), had a lower educational level than users (≥ 12 years: 6.9% versus 47.1%, p < 0.001) and were more often on dialysis. Within the group of internet users only a minority (2.6%) was using video conferencing with their physician, only 11.7% stated that they were using email to report symptoms and 26.6% were using the internet to schedule appointments. Slightly more than one-third of internet users (35.1%) are concerned that their personal medical data are not safe when submitted via the internet.


CONCLUSIONS
Within our group of German CKD-patients we found that almost one out of five patients, especially older patients and patients with a lower educational level, did not use the internet at all. The majority of internet users reported in our survey that they have not used internet-based technologies within a medical context so far, but are willing to consider it. Therefore, it seems to be important to introduce and teach motivated CKD-patients the use and benefits of simple and safe internet-based health care technologies.
['Schiffer|Lena|L|0000-0003-1616-8636', 'Gertges|Raoul|R|', 'Nöhre|Mariel|M|', 'Schieffer|Elisabeth|E|', 'Tegtbur|Uwe|U|', 'Pape|Lars|L|', 'de Zwaan|Martina|M|', 'Schiffer|Mario|M|']
D000293:Adolescent D000328:Adult D000368:Aged D000086382:COVID-19 D003430:Cross-Sectional Studies D005260:Female D005858:Germany D019538:Health Care Surveys D006801:Humans D008297:Male D008875:Middle Aged D057240:Patient Preference D051436:Renal Insufficiency, Chronic D017216:Telemedicine D055815:Young Adult
Internet-based technologies Chronic kidney disease (CKD) Coronavirus disease 2019 (COVID-19) Video conferencing eHealth