{"id":"https://openalex.org/W7213548142","doi":"https://doi.org/10.1097/mnh.0000000000001226","title":"The feasibility of telenephrology solutions for rural patients","display_name":"The feasibility of telenephrology solutions for rural patients","publication_year":2026,"publication_date":"2026-09-18","ids":{"openalex":"https://openalex.org/W7213548142","doi":"https://doi.org/10.1097/mnh.0000000000001226","pmid":"https://pubmed.ncbi.nlm.nih.gov/42755257"},"language":"en","primary_location":{"id":"doi:10.1097/mnh.0000000000001226","doi":"https://doi.org/10.1097/mnh.0000000000001226","is_oa":false,"landing_page_url":"https://doi.org/10.1097/mnh.0000000000001226","pdf_url":null,"source":{"id":"https://openalex.org/S185853653","display_name":"Current Opinion in Nephrology & Hypertension","issn_l":"1062-4821","issn":["1062-4821","1080-8221","1473-6543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current Opinion in Nephrology & Hypertension","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053475701","display_name":"Ifeoma Ulasi","orcid":"https://orcid.org/0000-0001-7783-3025","observed_orcids":["https://orcid.org/0000-0001-7783-3025"]},"institutions":[{"id":"https://openalex.org/I11892038","display_name":"University of Nigeria","ror":"https://ror.org/01sn1yx84","country_code":"NG","type":"education","lineage":["https://openalex.org/I11892038"]},{"id":"https://openalex.org/I4210164256","display_name":"University of Nigeria Teaching Hospital","ror":"https://ror.org/05fx5mz56","country_code":"NG","type":"healthcare","lineage":["https://openalex.org/I4210164256"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Ifeoma Isabella Ulasi","raw_affiliation_strings":["Alex Ekwueme Federal University Teaching Hospital, Abakaliki","College of Medicine, University of Nigeria, Ituku-Ozalla Campus","University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Alex Ekwueme Federal University Teaching Hospital, Abakaliki","institution_ids":[]},{"raw_affiliation_string":"College of Medicine, University of Nigeria, Ituku-Ozalla Campus","institution_ids":["https://openalex.org/I11892038"]},{"raw_affiliation_string":"University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu","institution_ids":["https://openalex.org/I4210164256"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023901857","display_name":"Ugochi Chika Onu","orcid":"https://orcid.org/0000-0001-8165-0918","observed_orcids":["https://orcid.org/0000-0001-8165-0918"]},"institutions":[{"id":"https://openalex.org/I3131422684","display_name":"Godfrey Okoye University","ror":"https://ror.org/04japw488","country_code":"NG","type":"education","lineage":["https://openalex.org/I3131422684"]},{"id":"https://openalex.org/I4210164256","display_name":"University of Nigeria Teaching Hospital","ror":"https://ror.org/05fx5mz56","country_code":"NG","type":"healthcare","lineage":["https://openalex.org/I4210164256"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Ugochi Chika Onu","raw_affiliation_strings":["Godfrey Okoye University, Enugu, Nigeria","University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Godfrey Okoye University, Enugu, Nigeria","institution_ids":["https://openalex.org/I3131422684"]},{"raw_affiliation_string":"University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu","institution_ids":["https://openalex.org/I4210164256"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045763661","display_name":"Chinwuba K. Ijoma","orcid":"https://orcid.org/0000-0003-1291-8479","observed_orcids":["https://orcid.org/0000-0003-1291-8479"]},"institutions":[{"id":"https://openalex.org/I4210164256","display_name":"University of Nigeria Teaching Hospital","ror":"https://ror.org/05fx5mz56","country_code":"NG","type":"healthcare","lineage":["https://openalex.org/I4210164256"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Chinwuba Kenneth Ijoma","raw_affiliation_strings":["University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu","institution_ids":["https://openalex.org/I4210164256"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"35","issue":"6","first_page":"626","last_page":"634"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/telenephrology","display_name":"telenephrology","score":1.0},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.8989999890327454},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.9769999980926514},{"id":"https://openalex.org/keywords/rural-health","display_name":"rural health","score":0.6690000295639038},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.6600000262260437},{"id":"https://openalex.org/keywords/digital-divide","display_name":"digital divide","score":0.7289999723434448},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.7229999899864197},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.7739999890327454},{"id":"https://openalex.org/keywords/healthcare-infrastructure","display_name":"health infrastructure","score":0.4569999873638153},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.49799999594688416},{"id":"https://openalex.org/keywords/waiting-time","display_name":"waiting time","score":0.4180000126361847}],"concepts":[{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.5795999765396118},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5626000165939331},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5461000204086304},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5307999849319458},{"id":"https://openalex.org/C194051981","wikidata":"https://www.wikidata.org/wiki/Q1337691","display_name":"Economic shortage","level":3,"score":0.5167999863624573},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.4984999895095825},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.4943000078201294},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.40310001373291016},{"id":"https://openalex.org/C100776233","wikidata":"https://www.wikidata.org/wiki/Q2532492","display_name":"Bridge (graph theory)","level":2,"score":0.391400009393692},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3912000060081482},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3905999958515167},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3416000008583069},{"id":"https://openalex.org/C174348530","wikidata":"https://www.wikidata.org/wiki/Q188635","display_name":"Bridging (networking)","level":2,"score":0.3368000090122223},{"id":"https://openalex.org/C173655357","wikidata":"https://www.wikidata.org/wiki/Q244752","display_name":"Digital divide","level":3,"score":0.3314000070095062},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3269999921321869},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.3154999911785126},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3028999865055084},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.302700012922287},{"id":"https://openalex.org/C29374701","wikidata":"https://www.wikidata.org/wiki/Q1931388","display_name":"Cause of death","level":3,"score":0.3009999990463257},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.2987000048160553},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2969000041484833},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2962000072002411},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.2806999981403351},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.27300000190734863},{"id":"https://openalex.org/C54847362","wikidata":"https://www.wikidata.org/wiki/Q177635","display_name":"Nephrology","level":2,"score":0.2678000032901764},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.26100000739097595},{"id":"https://openalex.org/C2779958979","wikidata":"https://www.wikidata.org/wiki/Q3473027","display_name":"Rural health","level":3,"score":0.25870001316070557},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.2522999942302704}],"mesh":[{"descriptor_ui":"D000092943","descriptor_name":"Resource-Limited Settings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009398","descriptor_name":"Nephrology","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D009398","descriptor_name":"Nephrology","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D051436","descriptor_name":"Renal Insufficiency, Chronic","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D051436","descriptor_name":"Renal Insufficiency, Chronic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D051436","descriptor_name":"Renal Insufficiency, Chronic","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/mnh.0000000000001226","doi":"https://doi.org/10.1097/mnh.0000000000001226","is_oa":false,"landing_page_url":"https://doi.org/10.1097/mnh.0000000000001226","pdf_url":null,"source":{"id":"https://openalex.org/S185853653","display_name":"Current Opinion in Nephrology & Hypertension","issn_l":"1062-4821","issn":["1062-4821","1080-8221","1473-6543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current Opinion in Nephrology & Hypertension","raw_type":"journal-article"},{"id":"pmid:42755257","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42755257","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current opinion in nephrology and hypertension","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.4943999946117401,"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":42,"referenced_works":["https://openalex.org/W2046363656","https://openalex.org/W2386750461","https://openalex.org/W2589908042","https://openalex.org/W2612797881","https://openalex.org/W2751641555","https://openalex.org/W2752006135","https://openalex.org/W2938250032","https://openalex.org/W3018504239","https://openalex.org/W3019270601","https://openalex.org/W3033848793","https://openalex.org/W3104607849","https://openalex.org/W3120250620","https://openalex.org/W3126954587","https://openalex.org/W3130200679","https://openalex.org/W3140649461","https://openalex.org/W3194750316","https://openalex.org/W4200232476","https://openalex.org/W4220877666","https://openalex.org/W4298050430","https://openalex.org/W4298087501","https://openalex.org/W4310809537","https://openalex.org/W4321003846","https://openalex.org/W4321512455","https://openalex.org/W4385515960","https://openalex.org/W4386699808","https://openalex.org/W4391762392","https://openalex.org/W4392564110","https://openalex.org/W4394580095","https://openalex.org/W4396544730","https://openalex.org/W4396608398","https://openalex.org/W4396948751","https://openalex.org/W4402439472","https://openalex.org/W4404327101","https://openalex.org/W4404645121","https://openalex.org/W4406421546","https://openalex.org/W4408915735","https://openalex.org/W4409004017","https://openalex.org/W4410143241","https://openalex.org/W4413269956","https://openalex.org/W4415390090","https://openalex.org/W4416372781","https://openalex.org/W7161726340"],"related_works":["https://openalex.org/W2620191542","https://openalex.org/W4312952870","https://openalex.org/W2789624563","https://openalex.org/W3087687893","https://openalex.org/W2125172356","https://openalex.org/W4403790155","https://openalex.org/W4409922709","https://openalex.org/W2468730265","https://openalex.org/W4393851005","https://openalex.org/W2589908042"],"abstract_inverted_index":{"PURPOSE":[0],"OF":[1],"REVIEW:":[2],"Chronic":[3],"kidney":[4,166],"disease":[5],"(CKD)":[6],"is":[7,54,67],"a":[8,43,115,162],"worsening":[9],"global":[10],"health":[11,167],"problem":[12],"that":[13,120],"disproportionately":[14],"affects":[15],"rural":[16],"populations,":[17],"especially":[18],"in":[19,83,85,130],"low-income":[20],"and":[21,48,152,180],"middle-income":[22],"countries":[23],"(LMICs).":[24],"Managing":[25],"patients":[26],"with":[27,87],"CKD":[28,53],"presents":[29],"significant":[30],"challenges,":[31],"including":[32],"limited":[33],"access":[34],"to":[35,56,69,73,78],"healthcare.":[36],"Key":[37],"contributing":[38],"factors":[39],"include":[40,98],"geographical":[41],"barriers,":[42],"shortage":[44],"of":[45,62,102,117,176],"nephrology":[46],"specialists,":[47],"insufficient":[49],"healthcare":[50,105],"infrastructure.":[51],"As":[52],"projected":[55],"become":[57],"the":[58,74,81,95,99,177],"fifth":[59],"leading":[60],"cause":[61],"death":[63],"by":[64],"2040,":[65],"it":[66],"crucial":[68],"develop":[70],"innovative":[71],"alternatives":[72],"traditional":[75],"care":[76,84],"model":[77],"help":[79],"bridge":[80],"gap":[82],"line":[86],"SDG":[88],"3.":[89],"RECENT":[90],"FINDINGS:":[91],"Lessons":[92],"learned":[93],"from":[94],"COVID-19":[96],"pandemic":[97],"successful":[100],"use":[101],"telemedicine-telenephrology":[103],"for":[104,165],"delivery.":[106],"However,":[107,114,169],"uptake":[108],"among":[109],"underserved":[110],"populations":[111,139],"remains":[112],"challenging.":[113],"review":[116],"evidence":[118],"suggests":[119],"such":[121],"challenges":[122],"are":[123,183],"surmountable,":[124],"as":[125,161],"telenephrology":[126,160],"has":[127],"been":[128],"practised":[129],"some":[131],"resource-constrained":[132],"remote":[133],"areas.":[134],"The":[135],"results":[136],"across":[137],"these":[138],"included":[140],"shorter":[141],"waiting":[142],"times,":[143],"lower":[144,153],"costs,":[145],"reduced":[146],"health-related":[147],"travel,":[148],"higher":[149],"overall":[150],"satisfaction,":[151],"mortality":[154],"rates.":[155],"SUMMARY:":[156],"These":[157],"findings":[158],"portray":[159],"technological":[163],"solution":[164],"inequities.":[168],"government":[170],"support,":[171],"digital":[172,178],"infrastructure":[173],"development,":[174],"bridging":[175],"divide,":[179],"community":[181],"engagement":[182],"essential.":[184]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-09-18T00:00:00"}