Evidence map›Paper›PMID 33675485›Full record

ArticleInternational urology and nephrology2021

Pilot health technology assessment study: organizational and economic impact of remote monitoring system for home automated peritoneal dialysis.

Gianpaolo Amici, Daniela D'Angela, Antonina Lo Cicero, Dino Romanini, Francesca K Martino, Federico Spandonaro

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Automated Peritoneal Dialysis: Patient Perspectives and Outcomes.International journal of nephrology and renovascular disease · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Gianpaolo AmiciNephrology and Dialysis Unit, Hospitals of San Daniele del Friuli and Tolmezzo, ASUFC Friuli Venezia Giulia, Udine, Italy. gianpaolo.amici@aulss4.veneto.it.ORCID http://orcid.org/0000-0002-6083-6390
Daniela D'AngelaFacoltà di Economia, Università di Roma "Tor Vergata" and C.R.E.A. Sanità, Roma, Italy.
Antonina Lo CiceroNephrology and Dialysis Unit, Hospitals of San Daniele del Friuli and Tolmezzo, ASUFC Friuli Venezia Giulia, Udine, Italy.
Dino RomaniniNephrology and Dialysis Unit, Hospitals of San Daniele del Friuli and Tolmezzo, ASUFC Friuli Venezia Giulia, Udine, Italy.
Francesca K MartinoNephrology, Dialysis and Kidney Transplantation Center, San Bortolo Hospital, Vicenza and International Renal Research Institute, Vicenza, Italy.
Federico SpandonaroFacoltà di Economia, Università di Roma "Tor Vergata" and C.R.E.A. Sanità, Roma, Italy.
Ospedale Santa Maria della Misericordia di Udine · ITUniversity of Rome Tor Vergata · ITDanieli (Italy) · ITInternational Renal Research Institute of Vicenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFollow-up of automated peritoneal dialysis (APD) has been improved by data transmission by cellular modem and internet cloud. With the new remote patient monitoring (RPM) technology, clinical control and prescription of dialysis are performed by software (Baxter Claria-Sharesource), which allows the center to access home operational data. The objective of this pilot study was to determine the impact of RPM compared to traditional technology, in clinical, organizational, social, and economic terms in a single center.

methodsWe studied 21 prevalent APD patients aged 69 ± 13 years, on dialysis for a median of 9 months, for a period of 6 months with the traditional technology and 6 months with the new technology. A relevant portion of patients lived in mountainous or hilly areas.

resultsOur study shows more proactive calls from the center to patients after the consultation of RPM software, reduction of calls from patients and caregivers, early detection of clinical problems, a significant reduction of unscheduled visits, and a not significant reduction of hospitalizations. The analysis also highlighted how the RPM system lead to relevant economic savings, which for the health system have been calculated € 335 (mean per patient-month). With the social costs represented by the waste of time of the patient and the caregiver, we calculated € 685 (mean per patient-month).

conclusionIn our pilot report, the RPM system allowed the accurate assessment of daily APD sessions to suggest significative organizational and economic advantages, and both patients and healthcare providers reported good subjective experiences in terms of safety and quality of follow-up.

Indexed as

Peritoneal DialysisTechnology Assessment, BiomedicalAgedAged, 80 and overFemaleHemodialysis, HomeHumansMaleMiddle AgedMonitoring, PhysiologicPilot ProjectsTelemedicineAutomated peritoneal dialysisCloud databaseHealth technology assessmentRemote patient monitoringTelemedicine

Identifiers

PMID33675485
OpenAlexW3134726896

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.