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Reduction in Hospitalization

Background

The remote monitoring technology specifically designed to be integrated into APD systems gives both patients and their clinical team a powerful tool that can enhance communication, potentially improve adherence to the treatment, and provide the potential for early intervention of complications of therapy.

Background Fig
Objectives

Objective

The purpose of this study was to compare the hospitalization rates in incident adult patients
on Automated Peritoneal Dialysis (APD) with and without Remote Patient Monitoring.

Study Design

Study Design

Multicenter retrospective cohort study in incident adult patients performing Automated Peritoneal Dialysis (APD) with remote monitoring. With patients enrolled from October 1, 2016 to June 30, 2017 with follow up of 1 year, in 28 renal clinics of the Renal Therapy Services (RTS) Columbia network.

Propensity score matching 1:1 yielding 63 individuals in each group - APD therapy with RPM and without was used to evaluate the association of RPM exposure with numbers of hospitalizations and hospital days.

Note: Claria with Sharesource was used in this study which is similar in function, design and indication to Amia with Sharesource

 

Results

What have we seen so far?

We found statistically significant reduction in hospitalizations (39% decrease) and duration of stay (54% decrease in days) in patients using APD with RPM compared to APD without RPM.

 

Details are presented in Tables 1 and 2.

 

tables_01

Adapted from Sanabria et al, 2019

tables_02

Adapted from Sanabria et al, 2019

Conclusions reduction-in-hospitalization

conclusions

Conclusions

 

Implementation of APD cyclers with a remote monitoring program using Sharesource technology may improve clinical outcomes, such as hospitalization events and hospital days.

Sanabria, M. et al. Remote Patient Monitoring Program in Automated Peritoneal Dialysis: Impact on Hospitalizations. PDI 2019.

HCP CTA block

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