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Abstract: TH-PO307

Use of a Remote Monitoring System to Evaluate Adherence to Peritoneal Dialysis Prescription

Session Information

Category: Dialysis

  • 703 Dialysis: Peritoneal Dialysis

Author

  • Paniagua, Ramón, Instituto Mexicano del Seguro Social, Mexico City, Mexico

Group or Team Name

  • Chronic Kidney Disease Reasearch Network of Instituto Mexicano del Seguro Social
Background

Remote Monitoring (RM) has been incorporated in the new machines for home Peritoneal Dialysis (PD); RM facilitates a more close and personalized surveillance and take proactive behavior about preventable complication. One important advantage of RM is the objective evaluation of the adherence to treatment and medical and non-medical risk factors for non-adherence.

Methods

A cohort of 222 patients starting PD with RM system was analyzed about adherence to the treatment, these mean days per week without connection and incomplete daily schedule. Information from RM was obtained blind for patients and compared with patient self-reported adherence.

Results

With the use of RM, it was detected than 105 (52.7%) of patients loss at least one day/month of treatment, 25.7% loss 4 or more days/month, this means a loss of 15% of the treatment or more. In 20.7% of patients the difference between RM and self-reported adherence was of >2 days/month, higher with RM. Among risk factors for lower adherence, low serum albumin level, higher economic income, and lack of couple were significant.

Conclusion

Rate of non-adherence to PD prescription was found higher than other reports. Lack of couple, low albumin level, and high income were risk factors for non-adherence.

Funding

  • Commercial Support