Abstract

BACKGROUND: Peritoneal dialysis (PD) is a home-based kidney replacement therapy. Recently, the remote patient management (RPM) system has been incorporated into automated PD dialysis machines. Here, we share our experience with the adoption of this system in our PD center. METHODS: In this retrospective study, 70 PD patients who began to use the Homechoice Claria® with Sharesource® from May 2019 to April 2020 were enrolled. Demographics and clinical outcomes, such as mortality, technique failure, peritonitis, hospitalization, and hospital visits, were documented. Electronic alerts were recorded, and data were retrieved from the Sharesource® database for further analysis. In addition, we performed a literature review summarizing studies on patient outcomes under this system. RESULTS: Of the 70 participants, 53 (75.7%) transitioned from automated PD without RPM. All patients had good adherence to treatment during the study period. RPM users had similar peritonitis and hospitalization rates compared to non-RPM users. By analyzing all recorded electronic alerts, we noticed that "dwell time lost >75 min" was the most common flag alert in our patient cohort (53.5%), followed by "delivery volume lost >10%" (24.8%) and "treatment time lost > 30 min" (21.7%). CONCLUSION: This study showed our experience in using RPM on PD patients. RPM users had good adherence to treatment and favorable outcomes. We also revealed the types and frequencies of activated electronic alerts and explored their underlying causes. It is anticipated that we can continuously optimize the protocol to meet individual patients' needs under this new platform.
Original languageEnglish
Pages (from-to)136-143
Number of pages8
JournalActa Nephrologica
Volume36
Issue number3
DOIs
Publication statusPublished - Sep 1 2022

Keywords

  • remote patient management
  • peritoneal dialysis
  • outcomes

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