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

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 coho...

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Autores: Centellas-Pérez, F, Ortega-Cerrato, A, Vera, M, Devesa-Buch, R, Muñoz-de-Bustillo, E, Prats, M, Alonso-Valente, R, Morais, J, Cara-Espada, P, Yuste-Lozano, C, Montomoli, M, González-Rico, M, Díez-Ojea, B, Barbosa, F, Iriarte, M, Flores, C, Quirós-Ganga, P, Espinel, L, Paraíso, V, Peña-Ortega, M, Manzano, D, Cancho, B, Pérez-Martínez, J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p18546
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/18546
Access Level:acceso abierto
Palabra clave:chronic kidney disease
peritoneal dialysis
remote patient monitoring
standardized outcomes in nephrology
telemedicine
technique survival
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spelling Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal DialysisCentellas-Pérez, FOrtega-Cerrato, AVera, MDevesa-Buch, RMuñoz-de-Bustillo, EPrats, MAlonso-Valente, RMorais, JCara-Espada, PYuste-Lozano, CMontomoli, MGonzález-Rico, MDíez-Ojea, BBarbosa, FIriarte, MFlores, CQuirós-Ganga, PEspinel, LParaíso, VPeña-Ortega, MManzano, DCancho, BPérez-Martínez, Jchronic kidney diseaseperitoneal dialysisremote patient monitoringstandardized outcomes in nephrologytelemedicinetechnique survivalIntroduction: 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.ELSEVIER SCIENCE INC2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/18546Kidney International ReportsISSN: 24680249reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p185462026-06-07T16:35:31Z
dc.title.none.fl_str_mv Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
title Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
spellingShingle Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
Centellas-Pérez, F
chronic kidney disease
peritoneal dialysis
remote patient monitoring
standardized outcomes in nephrology
telemedicine
technique survival
title_short Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
title_full Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
title_fullStr Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
title_full_unstemmed Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
title_sort Impact of Remote Monitoring on Standardized Outcomes in Nephrology-Peritoneal Dialysis
dc.creator.none.fl_str_mv Centellas-Pérez, F
Ortega-Cerrato, A
Vera, M
Devesa-Buch, R
Muñoz-de-Bustillo, E
Prats, M
Alonso-Valente, R
Morais, J
Cara-Espada, P
Yuste-Lozano, C
Montomoli, M
González-Rico, M
Díez-Ojea, B
Barbosa, F
Iriarte, M
Flores, C
Quirós-Ganga, P
Espinel, L
Paraíso, V
Peña-Ortega, M
Manzano, D
Cancho, B
Pérez-Martínez, J
author Centellas-Pérez, F
author_facet Centellas-Pérez, F
Ortega-Cerrato, A
Vera, M
Devesa-Buch, R
Muñoz-de-Bustillo, E
Prats, M
Alonso-Valente, R
Morais, J
Cara-Espada, P
Yuste-Lozano, C
Montomoli, M
González-Rico, M
Díez-Ojea, B
Barbosa, F
Iriarte, M
Flores, C
Quirós-Ganga, P
Espinel, L
Paraíso, V
Peña-Ortega, M
Manzano, D
Cancho, B
Pérez-Martínez, J
author_role author
author2 Ortega-Cerrato, A
Vera, M
Devesa-Buch, R
Muñoz-de-Bustillo, E
Prats, M
Alonso-Valente, R
Morais, J
Cara-Espada, P
Yuste-Lozano, C
Montomoli, M
González-Rico, M
Díez-Ojea, B
Barbosa, F
Iriarte, M
Flores, C
Quirós-Ganga, P
Espinel, L
Paraíso, V
Peña-Ortega, M
Manzano, D
Cancho, B
Pérez-Martínez, J
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv chronic kidney disease
peritoneal dialysis
remote patient monitoring
standardized outcomes in nephrology
telemedicine
technique survival
topic chronic kidney disease
peritoneal dialysis
remote patient monitoring
standardized outcomes in nephrology
telemedicine
technique survival
description 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.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/18546
url https://incliva.portalinvestigacion.com/publicaciones/18546
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER SCIENCE INC
publisher.none.fl_str_mv ELSEVIER SCIENCE INC
dc.source.none.fl_str_mv Kidney International Reports
ISSN: 24680249
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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