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2026 · American journal of kidney diseases : the official journal of the National Kidney Foundation · paywalled

Impact of Smartphone-Enabled Home Urinary Albumin-Creatinine Ratio Testing on Albuminuria Screening and Management

Zafar et al.

The finding, in our words

Implementing smartphone-enabled home urinary albumin-creatinine ratio testing increased screening completion to 53% compared with 21% in usual-care controls across adults with hypertension or diabetes. Furthermore, identifying abnormal albuminuria through home testing led to higher rates of follow-up primary care visits, nephrology consultations and initiation of kidney-protective therapies.

A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.

Labels

  1. 2025

    Albuminuria Responses to Dapagliflozin in Patients With Type 2 Diabetes: A Crossover Trial

    In this decentralised n-of-1 crossover trial of dapagliflozin in 20 adults with type 2 diabetes, remote collection of urine and capillary blood samples achieved 99.4% and 98.4% delivery success respectively, demonstrating that remote monitoring can reliably track individual albuminuria responses to therapy.

    Beernink et al., JAMA network open · source ↗

    • dct
    • multimodal
    • blood
    • rpm
    • self-collection
    • capillary
    • urine
    • biomarkers
  2. 2024

    Helping Patients to Predict and Confirm Ovulation with the Use of Combined Urinary Hormonal and Smartphone Technology: A Proof-of-Concept Retrospective Descriptive Case Series

    This retrospective case series found that a protocol combining home-based urinary hormone testing with a smartphone application supported fertility management and family planning without unintended pregnancies. The findings suggest that integrating self-collected urinary data with digital tools offers a viable decentralised approach for ovulation prediction.

    Leiva & Ecochard, Seminars in reproductive medicine · source ↗

    • multimodal
    • blood
    • self-collection
    • fertility
    • hormones
    • urine
  3. 2023

    Using Hormone Data and Age to Pinpoint Cycle Day within the Menstrual Cycle

    Daily remote urine hormone monitoring of LH and PdG, together with age and cycle start day, can identify menstrual cycle phase and day with 95% confidence; this supports precise, patient-centric cycle tracking outside clinic settings.

    Hills et al., Medicina (paywalled) · source ↗

    • multimodal
    • rpm
    • self-collection
    • fertility
    • hormones
    • urine
  4. 2023

    Feasibility study for a fully decentralized clinical trial in participants with functional constipation symptoms

    A fully remote, randomised pilot trial of 30 people with functional constipation demonstrated geographic reach with 27% residing outside metropolitan areas. Lactobacillus supplementation increased weekly bowel movements by 0.80 and reduced defecation time by 3.94 hours versus vitamin C alone, but 33% of mobile diary entries were not completed as scheduled, highlighting the need for real-time data quality monitoring in decentralised trials.

    Huh et al., Clinical and translational science · source ↗

    • dct
    • multimodal
    • self-collection
    • microbiome
    • stool
    • digital-biomarker
    • urine
  5. 2022

    Beyond liquid biopsy: Toward non-invasive assays for distanced cancer diagnostics in pandemics

    The review finds that lab-on-chip liquid biopsy technologies are sufficiently mature for distanced cancer screening and follow-up, enabling patient-centric sample collection that reduces exposure risks during pandemics.

    Ferrara et al., Biosensors & bioelectronics · source ↗

    • wearable
    • multimodal
    • sweat
    • self-collection
    • oncology
    • hpv
    • liquid-biopsy
    • stool
    • interstitial-fluid
    • liquid
    • urine
    • validation
    • saliva
    • biomarkers