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Abstract: SA-PO654

Role of Remote Monitoring in Automated Peritoneal Dialysis: Impact in SONG-PD (Standardized Outcomes in Nephrology-Peritoneal Dialysis) and Results from RPM-APD Multicenter Study

Session Information

  • Home Dialysis - II
    November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

  • Centellas Pérez, Francisco Javier, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
  • Perez Martinez, Juan, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
  • Valente, Alonso Rafael, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Galicia, Spain
  • Peña Ortega, María, Hospital Universitario San Cecilio, Granada, Andalucía, Spain
  • Caro espada, Paula Jara, Hospital Universitario 12 de Octubre, Madrid, Comunidad de Madrid, Spain
  • Devesa Such, Ramon, Hospital Universitari i Politecnic La Fe, Valencia, Spain
  • Ortega Cerrto, Agustín, Complejo Hospitalario Universitario de Albacete, Albacete, Castilla-La Mancha, Spain
  • Vera Rivera, Manel, Hospital Clinic de Barcelona, Barcelona, Catalunya, Spain
  • Barbosa, Francisco, Hospital del Mar, Barcelona, Catalunya, Spain
  • Espinel, Laura, Hospital Universitario de Getafe, Getafe, Madrid, Spain
  • Prats, Mercedes, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Catalunya, Spain
  • Macedo, José Pedro Morais, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Galicia, Spain
  • Muñoz de Bustillo, Eduardo, Hospital General Universitari d'Alacant, Alicante, Valenciana, Spain
  • Montomoli, Marco, Generalitat Valenciana, Valencia, Spain
Background

The use of remote monitoring (RPM) in automated peritoneal dialysis (APD) has shown lower hospitalization rates in those patients who used this technique in addition to another series of clinical advantages such as greater technique survival. The present study evaluated the association between RPM use and SONG-PD outcomes.

Methods

A prospective observational multicenter cohort study included 232 patients in 16 Hospitals. A RPM program was used in 176 of the patients and 56 were treated with APD without RPM. The primary outcomes were standardized outcomes in Nephrology (SONG)-PD clinical outcomes and quality of life (EQ-5D-L).
Data was recorded al least during 6 months. Propensity score matching (PSM) 1:1 was used to evaluate the association of RPM exposure with outcomes.

Results

There were no differences between baseline and demographic characteristics. Before PSM, APD with RPM (n=176) vs without RPM (n=56) was associated with less mortality (n=1 vs n=4)(HR (95%CI): (0.08 (0.01-0.69) (p=0.020) and with better technique survival (n=10 vs n=11) (HR (95%CI): (0.25 (0.11-0.59) p=0.001). After PSM , APD with RPM continued to associate con with better technique survival ( figures 1 and 2)

Conclusion

The use of an RPM program in APD patients may be associated with better technique survival. RPM could be a tool for improvement of APD therapy.

Funding

  • Commercial Support – Baxter Health Company