Telemonitoring in adult kidney transplant recipients improved patient satisfaction and access to care.

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Frontiers in Medicine Published April 13, 2026 Medically reviewed April 25, 2026 Study authors: Delphine Bailly, Maher Abdessater, Ramy Touma Sawaya, Benoit Barrou, Sarah Drouin DOI ↗ By Dr. Sofia Müller, MD · Lifespan & Whole-Person Care

Key Takeaway

Consider telemonitoring for kidney transplant recipients to enhance access and satisfaction, noting lack of clinical outcome data.

This single-center retrospective observational cohort study assessed patient experience and satisfaction within a telemonitoring program for adult kidney transplant recipients. The population consisted of 207 eligible patients, of whom 110 responded to a survey conducted between April 2020 and April 2022. No comparator group was reported, and the study design limits causal inference regarding clinical benefits.

Among active users of the TOUCO platform, satisfaction rates were high across key domains. Specifically, 89% of respondents were satisfied with response time, 81% with improved access to care, 75% with increased reassurance, and 86% with ease of use. The system recorded 5,214 platform events and more than 4,000 secure messages. Advanced practice nurses (APNs) managed active users with a mean daily workload of 3 hours.

Safety and tolerability data were not reported, as were discontinuations or adverse events. Key limitations include the single-center design, retrospective nature, and reliance on survey respondents rather than the full eligible population. No measured clinical outcome differences were reported. Consequently, while telemonitoring appears feasible and well-accepted, its impact on hard clinical endpoints remains unproven in this analysis.

The practice relevance suggests that telemonitoring can enhance perceived access to care and patient reassurance in kidney transplantation. APNs play a central role in triaging data and maintaining engagement. Clinicians should interpret these findings as evidence of operational feasibility and patient preference rather than proven clinical efficacy.

Study Details

Study typeCohort

EvidenceLevel 3

PublishedApr 2026

View Original Abstract ↓

Telemonitoring has the potential to improve access to care and continuity of follow-up after kidney transplantation. Advanced practice nurses (APNs) play an increasingly important role in coordinating remote care pathways. This study evaluated patient experience with telemonitoring after renal transplantation, identified determinants of adherence, and clarified the role of APNs in this model. We conducted a single-center retrospective observational study including adult kidney transplant recipients enrolled in a telemonitoring program between April 2020 and April 2022. Patients were classified as active users (TOUCO), discontinued users (STOPCO), or never users (JAMCO). Satisfaction and experience were assessed באמצעות questionnaires. Platform activity and APN workload were analyzed using descriptive statistics. Among 207 eligible patients, 110 responded to the survey (53%): 64 TOUCO (71%), 11 STOPCO (47%), and 35 JAMCO (37%). Active users reported high satisfaction with response time (89%), improved access to care (81%), and increased reassurance (75%). Ease of use (86%) and adequate information at enrollment were significantly associated with continued use. Major barriers included technical difficulties (≈80%) and loss of login credentials (>50%). During the study period, 5,214 platform events and more than 4,000 secure messages were recorded, reflecting sustained engagement. APNs required a mean workload of 3 hours per day to manage all active users on a daily basis. Telemonitoring after kidney transplantation is feasible and well accepted, improving perceived access to care and enhancing patient reassurance without measured clinical outcome differences. Adherence is driven primarily by organizational and technological factors rather than patient characteristics. APNs play a central role in ensuring continuity of care, triaging data, and maintaining patient engagement. Future studies should evaluate clinical outcomes and cost-effectiveness to support broader implementation.

Telemonitoring in adult kidney transplant recipients improved patient satisfaction and access to care.

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Telemonitoring in adult kidney transplant recipients improved patient satisfaction and access to care.

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