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Modern communication technologies have opened up new perspectives for modern medicine. Developed and used in many countries since the 1990s, teleconsultation responds to societal change. It facilitates communication between doctors but also between doctors and patients. It helps to improve access to care and reduce health costs. The studies showing its interest in practice are numerous as for example: follow-up of chronic diseases, psychiatric follow-up or post-operative follow-up in outpatient surgery, etc. Teleconsultation is increasingly popular with patients but still encounters cultural and other obstacles by calling into question certain fundamental aspects of the doctor-patient relationship., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

The management and optimal care for the pediatric patient with chronic kidney disease requires attention not only to medical management, but also special focus on the psychosocial and developmental factors of children which is complicated by the presence of other disease-related complications. In recent years, specialized chronic kidney disease and predialysis clinics have been set up to facilitate and improve the quality of care of these patients with a multidisciplinary organisation and coordinated management approaches of a renal team. We present our experience in establishing such a renal management clinic named "Prévoir" for children with chronic kidney disease at Sainte-Justine Hospital.