Evidence map›Paper›PMID 41257587›Full record

Observational studyBMC nephrology2025

Remote and home-based management for maintenance peritoneal dialysis patients: a retrospective cohort study using internet hospital and Four-Party Linkage models.

Biling Fu, Cuiyun Liu, Qingcheng Zeng, Jihong Chen

Abstract readObservational Study
In one paragraph

Observational study in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Biling FuDepartment of Nephrology, The Second Affiliated Hospital of Shenzhen University, 118 Longjing 2nd Road, Shenzhen, 518101, China.
Cuiyun LiuDepartment of Nephrology, The Second Affiliated Hospital of Shenzhen University, 118 Longjing 2nd Road, Shenzhen, 518101, China.
Qingcheng ZengDepartment of Nephrology, The Second Affiliated Hospital of Shenzhen University, 118 Longjing 2nd Road, Shenzhen, 518101, China.
Jihong ChenDepartment of Nephrology, The Second Affiliated Hospital of Shenzhen University, 118 Longjing 2nd Road, Shenzhen, 518101, China. zhangzhang2024A@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of the remote management based on the Internet Hospital and Family-Sicked Bed strategy under the Four-Party Linkage model among patients with maintenance peritoneal dialysis (PD).

methodsBao'an People's Hospital (Group) utilized its internet hospital platform to conduct a retrospective cohort observational study on the Remote Management (RM) of PD patients. The study further established​a four-party collaborative disease management model comprising "residents-communities-community health centers-the hospital". A total of 150 insured patients were randomly assigned into three groups-Non-RM-PD group, RM-PD group, and Family-Sicked Bed group-using the random number table method. After a six-month intervention period, clinical indicators across the groups were compared, and analyses were conducted on time consumption, economic costs, as well as the potential benefits for patients, healthcare providers, and society in each group.

resultsThe clinical outcomes, including hospitalization rates, blood pressure levels, the proportion of patients requiring antihypertensive medications, the number of antihypertensive agents used, fluid overload, edema, hypokalemia, peritonitis incidence, and the rate of Kt/V meet the standard, demonstrated that RM-PD group and Family-Sicked Bed group were superior to the Non RM-PD group(P < 0.05). Multidimensional improvements were observed in the RM-PD and Family-Sickbed groups, such as enhanced quality of home-based PD, improved work efficiency of healthcare staff, greater social benefits, and reduced economic burden on patients. The Non RM-PD group had the highest total annual medical costs after reimbursement, whereas the Family-Sicked Bed group had the lowest (mean ± SD)(Non RM-PD = 39,383 ± 2678, RM-PD = 34,369 ± 2898, Family-Sicked Bed = 25,250 ± 2763, based on Chinese Yuan CNY, P < 0.05).

conclusionWithin the 6-month follow-up period of this study, remote management supported by the internet hospital and Family-Sicked Bed management under the Four-Party Linkage model have demonstrated effectiveness in PD patients; their long-term sustainability requires further verification with extended follow-up. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Home Care ServicesInternetKidney Failure, ChronicPeritoneal DialysisAdultAgedChinaCohort StudiesFemaleHospitalizationHumansMaleMiddle AgedRetrospective StudiesTelemedicineFamily-Sicked BedFour-Party LinkageInternet hospitalMaintenance peritoneal dialysisRemote management

Identifiers

PMID41257587
PMCPMC12628638

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.