RT journal article
T1 Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
A1 Centellas Pérez, Francisco Javier
A1 Ortega Cerrato, Agustín
A1 Vera, Manel
A1 Devesa Buch, Ramón Jesús
A1 Muñoz de Bustillo, Eduardo
A1 Prats, Mercedes
A1 Alonso Valente, Rafael
A1 Morais, José Pedro
A1 Cara Espada, Paula Jaro
A1 Yuste Lozano, Claudia
A1 Montomoli, Marco
A1 González Rico, Miguel
A1 Díez Ojea, Beatriz
A1 Barbosa, Francesc
A1 Iriarte, Miren
A1 Flores, Carmen
A1 Quirós Ganga, Pedro Luís
A1 Espinel, Laura
A1 Paraíso, Vicente
A1 Peña Ortega, María
A1 Manzano, Diana
A1 Cancho, Bárbara
A1 Pérez Martínez, Juan
A2 Cirugía
A2 Medicina
K1 chronic kidney disease
K1 peritoneal dialysis
K1 remote patient monitoring
K1 standardized outcomes in nephrology
K1 telemedicine
K1 technique survival
AB 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.
PB Elsevier
SN 2468-0249
YR 2024
FD 2024
LK http://hdl.handle.net/10498/32851
UL http://hdl.handle.net/10498/32851
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-nov-2026