دورية أكاديمية
أعرض في EDS

Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis.

التفاصيل البيبلوغرافية
العنوان: Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis.
المؤلفون: Centellas-Pérez FJ; Albacete General University Hospital, Albacete, Spain., Ortega-Cerrato A; Albacete General University Hospital, Albacete, Spain., Vera M; Hospital Clinic, Barcelona, Spain., Devesa-Buch RJ; Hospital Universitario y politécnico La Fe, Valencia, Spain., Muñoz-de-Bustillo E; Department of Nephrology, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain., Prats M; Hospital Joan XXIII, Tarragona, Spain., Alonso-Valente R; Complexo Universitario Hospitalario de Santiago de Compostela, A Coruña, Spain., Morais JP; Complexo Universitario Hospitalario de Santiago de Compostela, A Coruña, Spain., Cara-Espada PJ; Hospital Universitario 12 de Octubre, Madrid, Spain., Yuste-Lozano C; Hospital Universitario 12 de Octubre, Madrid, Spain., Montomoli M; Hospital Clínico Universitario, Valencia, Spain., González-Rico M; Hospital Clínico Universitario, Valencia, Spain., Díez-Ojea B; Hospital Universitario de Torrevieja, Alicante, Spain., Barbosa F; Hospital del Mar, Barcelona, Spain., Iriarte M; Hospital del Mar, Barcelona, Spain., Flores C; Hospital Puerto Real, Cádiz, Spain., Quirós-Ganga PL; Hospital Puerto Real, Cádiz, Spain., Espinel L; Hospital Universitario de Getafe, Madrid, Spain., Paraíso V; Hospital del Henares, Madrid, Spain., Peña-Ortega M; Hospital Universitario San Cecilio, Granada, Spain., Manzano D; Hospital Virgen de la Arraixaca, Murcia, Spain., Cancho B; Hospital Universitario de Badajoz, Badajoz, Spain., Pérez-Martínez J; Albacete General University Hospital, Albacete, Spain.
المصدر: Kidney international reports [Kidney Int Rep] 2023 Nov 05; Vol. 9 (2), pp. 266-276. Date of Electronic Publication: 2023 Nov 05 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101684752 Publication Model: eCollection Cited Medium: Internet ISSN: 2468-0249 (Electronic) Linking ISSN: 24680249 NLM ISO Abbreviation: Kidney Int Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Philadelphia] : Elsevier, [2016]-
مستخلص: Introduction: This study aimed to evaluate the association between the use of remote patient monitoring (RPM) in patients on automated peritoneal dialysis (APD) and the Standardized Outcomes in Nephrology in peritoneal dialysis (SONG-PD) clinical outcomes.
Methods: A prospective and multicenter cohort study was conducted on patients with advanced chronic kidney disease on APD, recruited at 16 Spanish Hospitals, between June 1 and December 31, 2021. Patients were divided into 2 cohorts, namely patients on APD with RPM (APD-RPM) and patients on APD without RPM. The primary endpoints were the standardized outcomes of the SONG-PD clinical outcomes: PD-associated infection, cardiovascular disease (CVD), mortality rate, technique survival, and life participation (assessed as health-related quality of life [QoL]). Propensity score matching (PSM) was used to evaluate the association of RPM exposure with the clinical outcomes.
Results: A total of 232 patients were included, 176 (75.9%) in the APD-RPM group and 56 (24.1%) in the APD-without-RPM group. The mean patient follow-up time was significantly longer in the APD-RPM group than in the APD-without-RPM group (10.4 ± 2.8 vs. 9.4 ± 3.1 months, respectively; P  = 0.02). In the overall study sample, the APD-RPM group was associated with a lower mortality rate (hazard ratio [HR]: 0.08; 95% confidence interval [CI]: 0.01 to 0.69; P  = 0.020) and greater technique survival rate (HR: 0.25; 95% CI: 0.11 to 0.59; P  = 0.001). After PSM, APD-RPM continued to be associated with better technique survival (HR: 0.23; 95% CI: 0.06 to 0.83; P  = 0.024).
Conclusion: The use of RPM programs in patients on APD was associated with better survival of the technique and lower mortality rates. However, after PSM, only technique survival was significant.
(© 2023 International Society of Nephrology. Published by Elsevier Inc.)
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فهرسة مساهمة: Keywords: chronic kidney disease; peritoneal dialysis; remote patient monitoring; standardized outcomes in nephrology; technique survival; telemedicine
تواريخ الأحداث: Date Created: 20240212 Latest Revision: 20240213
رمز التحديث: 20240213
مُعرف محوري في PubMed: PMC10850997
DOI: 10.1016/j.ekir.2023.10.034
PMID: 38344718
قاعدة البيانات: MEDLINE
الوصف
تدمد:2468-0249
DOI:10.1016/j.ekir.2023.10.034