Patient Electronic Health Record Portal Use and Patient-Centered Outcomes in CKD

Electronic health record portals are increasingly emphasized in chronic kidney disease (CKD). However, associations of portal use with clinical and patient-centered outcomes remain unknown. Cross-sectional survey (April 2015 to March 2018). Nondialysis patients with CKD from nephrology clinics withi...

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Bibliographic Details
Published in:Kidney medicine 2021-03, Vol.3 (2), p.231-240.e1
Main Authors: Tome, June, Ahmed, Shahbaz, Fagerlin, Angela, Powell, Corey, Mourao, Marcio, Chen, Emily, Harrison, Sam, Segal, Jonathan, Abdel-Kader, Khaled, Nunes, Julie Wright
Format: Article
Language:English
Subjects:
chronic kidney disease
internet use
Original Research
patient knowledge
Patient portal
patient stress
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Summary:Electronic health record portals are increasingly emphasized in chronic kidney disease (CKD). However, associations of portal use with clinical and patient-centered outcomes remain unknown. Cross-sectional survey (April 2015 to March 2018). Nondialysis patients with CKD from nephrology clinics within 1 academic medical center. Patient demographics (age, sex, race, ethnicity, education, and income), kidney function. Association between portal use as an outcome and exposures. Additionally, associations of portal use and patient demographics with 4 patient–centered outcomes (CKD-specific knowledge, stress, and 2 self-ratings of health). Logistic regression to examine associations between patient portal use, demographics, and kidney function. Linear regression to examine associations between portal use and patient-centered outcomes. Of 245 participants, mean age was 60±17 (SD) years, 182 (77%) were White, 121 (49%) were women, 230 (96%) had a high school education or higher, and 96 (45%) had 
ISSN:2590-0595
2590-0595
DOI:10.1016/j.xkme.2020.11.014