Abstract: FR-PO0544
Palliative Peritoneal Dialysis Meets Telemedicine: A New Paradigm for Advanced CKD
Session Information
- Home Dialysis: Clinical Epidemiology
November 07, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 802 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Lentini, Paolo, Nephrology Department, "St Bassiano Hospital", Bassano Del Grappa, Italy
- Laudadio, Giorgio, Nephrology Department, "St Bassiano Hospital", Bassano Del Grappa, Italy
- Benedetti, Claudia, Nephrology Department, "St Bassiano Hospital", Bassano Del Grappa, Italy
- Previti, Antonino, Nephrology Department, "St Bassiano Hospital", Bassano Del Grappa, Italy
- Ronco, Claudio, Nephrology Department, "St Bassiano Hospital", Bassano Del Grappa, Italy
Background
Pts with advanced CKD and limited life expectancy often face barriers to accessing high-quality care.Peritoneal dialysis (PD),when used as a palliative strategy,may alleviate symptoms and reduce hospitalizations.This study evaluates integration of telemedicine into PD as a novel care model for fragile CKD pts.
Methods
We retrospectively analyzed 6 pts(avg 81.6 yrs) with advanced CKD enrolled in a APD program supported by telemedicine.Goals were symptom relief,care continuity and reduced healthcare burden.This model combined two systems
Sharesource®(Vantive):Web-based system linked to the APD device,enabling remote monitoring and adjustment of dialysis parameters.
Totem eVISUS®(TesiSquare):Plug-and-play bidirectional system with:
a) Home unit(HD camera,touchscreen,audio system,router);
b) Hospital station enabling live visual assessment,catheter inspection,effluent monitoring and caregiver support.
Dialysis sessions were monitored daily via Sharesource; clinical evaluations and training were provided remotely through eVISUS.Key outcomes included hospitalization rate and number of home care interventions.
Results
Despite high comorbidity(Charlson Index16.5; Rein Score 9)pts required few hospitalizations(avg 1.8/patient)and received few home-based interventions(avg 5.8).Telemedicine improved access to care,reduced logistical burden and was well accepted by pts and caregivers.[fig.2]
Conclusion
Telemedicine APD is a feasible and effective palliative strategy in advanced CKD.This model promotes home-based care,reduces hospital dependence and enhances quality of life in high-risk,elderly populations.
Patient Characteristics
| Characteristic (3M/3F) | Mean |
| Mean Age (years) | 81.56 |
| Hospital Admissions (n°/patient) | 1.83 |
| Home care interventions | 5.83 |
| Charlson Comorbidity Index | 16.50 |
| Rein Score | 9.00 |