Abstract: FR-PO0545
Home Teledialysis with Automated Peritoneal Dialysis Improves Survival and Reduces Hospitalization in Incident Dialysis Patients: A Consecutive Cohort Study
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, International Research Institute of Vicenza IRRIV, Vicenza, Italy
Background
This study evaluates the impact of automated peritoneal dialysis (APD) supported by teledialysis (TD) on survival,hospitalization rates and care efficiency in incident dialysis pts,compared with standard in-center hemodialysis(HD).
Methods
A retrospective cohort analysis was conducted over a 3-year period,including 44 consecutively APD-TD incident pts and 73 incident HD pts.TD model combined two systems:
Sharesource® (Baxter):a web-based platform enabling secure remote monitoring and adjustment of APD treatments.
Totem eVISUS®(TesiSquare/T4Med,Italy):a plug-and-play telemedicine solution consisting of:
A home-based remote station with HD camera,touchscreen monitor,speaker-microphone, and internet router.
A hospital control station allowing healthcare providers to conduct real-time clinical evaluations, check catheter integrity and PD effluent, adjust medications and deliver remote PD training.
Clinical endpoints included number of hospitalizations and all-cause mortality.
Results
APD-TD Pts experienced significantly fewer hospitalizations(0.77 vs.2.81;p<0.05) and a lower mortality rate (27.6%vs52.1%) compared to the HD group.These outcomes may also reflect closer clinical oversight and earlier detection of complications enabled by the telemedicine model.
Conclusion
APD-TD significantly reduces hospitalizations and mortality in incident dialysis pts.This model offers a viable and scalable alternative to HD, combining patient-centered care with real-time clinical supervision.