Abstract: TH-PO838

Evaluation of Healthcare Resource Consumption in Simulated Patients on Automated Peritoneal Dialysis (APD) Using a Remote Monitoring System

Session Information

  • Peritoneal Dialysis - I
    November 02, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 608 Peritoneal Dialysis

Authors

  • Uchiyama, Kiyotaka, Keio University, School of Medicine, Tokyo, Japan
  • Washida, Naoki, keio university ,school of medicine, Tokyo, Japan
  • Yube, Nobuyuki, Baxter, Tokyo, Japan
  • Kasai, Takahiro, Keio University , Tokyo-to, Japan
  • Morimoto, Kohkichi, School of Medicine, Keio University, Tokyo, Japan
  • Wakino, Shu, Keio University , Tokyo-to, Japan
  • Deenitchina, Souzana S., Baxter Limited Japan, Tokyo, Japan
  • Itoh, Hiroshi, Keio University School of Medicine, Tokyo, Japan
Background

Studies are in progress to evaluate the usefulness of remote monitoring (RM) in chronic disease patients. For patients undergoing peritoneal dialysis (PD), who also have chronic disease (e.g., end-stage renal failure) and are basically on home care, RM is highly likely to contribute to better prognosis and improved quality of life (QOL). However, evidence is scarce in this area. Automated peritoneal dialysis (APD) involves the use of a device to enable automated PD while the patient is asleep, and has greatly contributed to the improved QOL of PD patients. However, no APD device with RM function is available in Japan. In this preliminary study, we evaluated the usefulness of RM in APD patients employing a simulated patient approach.

Methods

We prepared two clinical scenarios with RM (RM+) and without RM (RM-), consisting of 12 simulated patients with PD-related problems commonly experienced in daily clinical practice, with modifications from the original US Baxter’s scenarios to reflect the actual clinical situation in Japan. Each scenario was evaluated by two teams consisting of one nephrologist and one nurse each, or by two nephrologists for the frequency of healthcare resource consumption, such as “hospitalizations” and “emergency room visits”, for comparison between the RM+ and RM- groups.

Results

The RM+ group showed a significantly reduced total healthcare resource consumption (36.8 vs. 107.5 times, p = 0.002), as compared to the RM- group. More specifically, the RM+ group showed significantly lower frequency of the following resource consumption: “unplanned hospital visits” (p = 0.005), “emergency room visits”gency room visits (p = 0.003), “home visits” (p = 0.020), “exchanges over the telephone” (p = 0.002),” change to hemodialysis” (p = 0.003) and “other” (p = 0.004).

Conclusion

The present results indirectly demonstrate the usefulness of RM in reducing the frequency of healthcare resource consumption in APD patients. This is the first time this evidence has been found in Japan.

Funding

  • Commercial Support