• Polina V Zmijewski, Eliza Decroce-Movson, Steven E Reinert, Meaghan M Mallette, Jason T Machan, Paul E Morrissey, and Adena J Osband.
• Department of Surgery, Rhode Island Hospital, Providence, RI; The Warren Alpert Medical School of Brown University, Providence, RI. Electronic address: polina.zmijewski@lifespan.org.
• J. Am. Coll. Surg. 2020 Jun 1; 230 (6): 983-988.

BackgroundOnline portals have been shown to be a valuable tool for patients to improve compliance with medical treatment in numerous studies across medical specialties. Our aim was to study the effects of the use of web-based applications that allow patients to track their appointments, labs, and provider visit notes on achievement of renal transplantation.Study DesignThis is a retrospective chart review of patients in 2 outpatient dialysis centers associated with a 719-bed tertiary care academic medical center.ResultsNine percent of portal users at 3 years after initiation of hemodialysis were the recipients of kidney transplants vs 9% of nonusers. At 4 years, 23% of users were transplant recipients vs 13% of nonusers. At 5 years, 40% of users were transplant recipients vs 14% of nonusers. There was statistically significant divergence of the curves, with the greatest difference observed at 5 years (p = 0.047). In addition, increased number of logins per month was associated with shortened time to renal transplantation (p = 0.0067).ConclusionsOnline portal use is associated with a higher likelihood of being approved as a transplantation candidate and increased number of logins is associated with shortened time to renal transplantation.Copyright © 2020 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

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