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Digital Health in Kidney Care: The Role of Telemonitoring in Enhancing Self-Management Among Patients with Chronic Kidney Disease

Authors

  • Martha Katarina Silalahi Universitas MH Thamrin
Published December 30, 2025 pp. 75-87 doi.org/10.62872/o.v2i6.240 CC BY-SA 4.0
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Abstract

Chronic kidney disease (CKD) requires long-term, continuous self-management to prevent disease progression and reduce complications. However, maintaining patient adherence and engagement in daily self-care remains a major challenge. The rapid development of digital health, particularly telemonitoring, offers new opportunities to strengthen self-management by enabling continuous home-based monitoring, real-time feedback, and enhanced patient–provider communication. This study aims to analyze the role of telemonitoring in improving self-management among patients with CKD and to identify the system design and adherence-related factors that determine successful implementation. A systematic literature review was conducted following the PRISMA framework, using articles published between 2020 and 2025 retrieved from Scopus, PubMed, Web of Science, and Google Scholar. The findings indicate that telemonitoring significantly improves key dimensions of self-management, including self-efficacy, treatment adherence, symptom awareness, patient engagement, and satisfaction with care. Clinical benefits include improved blood pressure control and enhanced early detection of complications. Nevertheless, long-term adherence remains a critical barrier, strongly influenced by system usability, monitoring burden, digital literacy, and integration within clinical workflows. In conclusion, telemonitoring represents a powerful instrument for strengthening CKD self-management, but its real-world effectiveness depends on human-centered system design, continuous professional support, and tailored strategies to sustain patient adherence over time.

Keywords

Chronic kidney diseaseDigital healthSelf-managementTelemonitoringPatient adherence

References

  1. Canaud, B., Davenport, A., Leray-Moragués, H., Morena-Carrere, M., Cristol, J., Kooman, J., & Kotanko, P. (2024). Digital health support: Current status and future development for enhancing dialysis patient care and empowering patients. Toxins, 16. https://doi.org/10.3390/toxins16050211
  2. Canaud, B., Kooman, J., Davenport, A., Campo, D., Carreel, E., Morena-Carrere, M., & Cristol, J. (2023). Digital health technology to support care and improve outcomes of chronic kidney disease patients: As a case illustration, the Withings toolkit health sensing tools. Frontiers in Nephrology, 3. https://doi.org/10.3389/fneph.2023.1148565
  3. Creber, A., Leo, D., Buckley, B., Chowdhury, M., Harrison, S., Isanejad, M., & Lane, D. (2023). Use of telemonitoring in patient self-management of chronic disease: A qualitative meta-synthesis. BMC Cardiovascular Disorders, 23. https://doi.org/10.1186/s12872-023-03486-3
Show 15 more references
  1. De Almeida, O., De Lima, M., Santos, W., & Silva, B. (2023). Telehealth strategies in the care of people with chronic kidney disease: Integrative review. Revista Latino-Americana de Enfermagem, 31. https://doi.org/10.1590/1518-8345.6824.4050
  2. Delvallée, M., Guerraoui, A., Tchetgnia, L., Grangier, J., Amamra, N., Camarroque, A., Haesebaert, J., & Caillette-Beaudoin, A. (2023). Barriers and facilitators in implementing a telemonitoring application for patients with chronic kidney disease and health professionals: Ancillary implementation study of the NeLLY stepped-wedge randomized controlled trial. JMIR mHealth and uHealth, 13. https://doi.org/10.2196/50014
  3. Graham-Brown, M., Smith, A., & Greenwood, S. (2022). Digital health interventions in chronic kidney disease: Levelling the playing field? Clinical Kidney Journal, 16, 763–767. https://doi.org/10.1093/ckj/sfac259
  4. Hui, M., Zhang, D., Ye, L., Lv, J., & Yang, L. (2024). Digital health interventions for quality improvements in chronic kidney disease primary care: A systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Medicine, 13. https://doi.org/10.3390/jcm13020364
  5. Jayousi, S., Cinelli, M., Bigazzi, R., & Bianchi, S. (2025). Functionality and sustainability of telemedicine for home-based management of patients with chronic kidney disease: The Telemechron study. Journal of Nephrology, 38, 2239–2249. https://doi.org/10.1007/s40620-025-02348-9
  6. Kuang, M., Yao, Z., Chen, J., Yan, Y., & Li, Z. (2025). The effectiveness of remote interventions based on digital health technology in kidney transplant recipients: A systematic review. World Journal of Urology, 43. https://doi.org/10.1007/s00345-025-05582-9
  7. Leo, D., Buckley, B., Chowdhury, M., Harrison, S., Isanejad, M., Lip, G., Wright, D., & Lane, D. (2021). Interactive remote patient monitoring devices for managing chronic health conditions: Systematic review and meta-analysis. Journal of Medical Internet Research, 24. https://doi.org/10.2196/35508
  8. Muneer, S., Okpechi, I., Ye, F., Zaidi, D., Tinwala, M., Hamonic, L., Ghimire, A., Sultana, N., Slabu, D., Khan, M., Braam, B., Jindal, K., Klarenbach, S., Padwal, R., Ringrose, J., Scott-Douglas, N., Shojai, S., Thompson, S., & Bello, A. (2022). Impact of home telemonitoring and management support on blood pressure control in nondialysis CKD: A systematic review and meta-analysis. Canadian Journal of Kidney Health and Disease, 9. https://doi.org/10.1177/20543581221106248
  9. Ng, S., Tang, L., Turunen, H., Pikkarainen, M., Dong, Y., & He, H. (2025). The effectiveness of telehealth self-management interventions to improve the health outcomes of adults undergoing haemodialysis: A systematic review and meta-analysis. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.17686
  10. Okpechi, I., Ringrose, J., Padwal, R., & Bello, A. (2023). Telemonitoring in hypertension management for patients with chronic kidney disease: A narrative review. Connected Health. https://doi.org/10.20517/ch.2022.18
  11. Okpechi, I., Zaidi, D., Ye, F., Fradette, M., Schick-Makaroff, K., Berendonk, C., Abdulrahman, A., Braam, B., Ghimire, A., Hariramani, V., Jindal, K., Khan, M., Klarenbach, S., Muneer, S., Ringrose, J., Scott-Douglas, N., Shojai, S., Slabu, D., Sultana, N., Tinwala, M., Thompson, S., Padwal, R., & Bello, A. (2022). Telemonitoring and case management for hypertensive and remote-dwelling patients with chronic kidney disease: The telemonitoring for improved kidney outcomes study (TIKO): A clinical research protocol. Canadian Journal of Kidney Health and Disease, 9. https://doi.org/10.1177/20543581221077500
  12. Spethmann, S., Hindricks, G., Koehler, K., Störk, S., Angermann, C., Böhm, M., Assmus, B., Winkler, S., Möckel, M., Mittermaier, M., Lelgemann, M., Reuter, D., Bosch, R., Albrecht, A., Von Haehling, S., Helms, T., Sack, S., Bekfani, T., Gröschel, J., Koehler, M., Melzer, C., Wintrich, J., Zippel-Schultz, B., Ertl, G., Vogelmeier, C., Dagres, N., Zernikow, J., & Koehler, F. (2024). Telemonitoring for chronic heart failure: Narrative review of the 20-year journey from concept to standard care in Germany. Journal of Medical Internet Research, 26. https://doi.org/10.2196/63391
  13. Thijs, L., Asayama, K., Maestre, G., Hansen, T., Buyse, L., Wei, D., Melgarejo, J., Brguljan-Hitij, J., Cheng, H., De Souza, F., Gilis-Malinowska, N., Kawecka-Jaszcz, K., Mels, C., Mokwatsi, G., Muxfeldt, E., Narkiewicz, K., Odili, A., Rajzer, M., Schutte, A., Stolarz-Skrzypek, K., Tsai, Y., Vanassche, T., Vanholder, R., Zhang, Z., Verhamme, P., Kruger, R., Mischak, H., & Staessen, J. (2020). Urinary proteomics combined with home blood pressure telemonitoring for health care reform trial: Rational and protocol. Blood Pressure, 30, 269–281. https://doi.org/10.1080/08037051.2021.1952061
  14. T., R. (2025). Advancements in telemonitoring for chronic disease management. Research Output Journal of Public Health and Medicine. https://doi.org/10.59298/rojphm/2025/516571
  15. Zoccali, C., Levin, A., Mallamaci, F., Giugliano, R., & De Caterina, R. (2025). Advanced chronic kidney disease coexisting with heart failure: Navigating patients’ management. Clinical Kidney Journal, 18. https://doi.org/10.1093/ckj/sfaf128

Copyright (c) 2025 Martha Katarina Silalahi (Author) · CC BY-SA 4.0

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