ArticleTelemedicine reports
Remote Monitoring in Automated Peritoneal Dialysis Improves Treatment Adherence and Reduces Hospitalization Burden: A Prospective Multicenter Cohort Study.
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6 authors.
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Abstract
Introduction: Remote patient monitoring (RPM) in peritoneal dialysis (PD) has the potential to improve adherence and clinical outcomes, yet comparative real-world data among PD modalities are limited. This study aimed to compare PD treatment adherence, hospitalization burden, fluid status, and health care costs among patients undergoing continuous ambulatory PD (CAPD), automated PD (APD), and remote monitoring-assisted APD (RM-APD). Methods: In this prospective multicenter cohort study, 73 patients maintained on a single PD modality for ≥1 year were enrolled (CAPD: Results: The RM-APD group showed the highest treatment adherence (median 83.4%, interquartile range 81.0-88.2), compared with 81.0% in CAPD and 78.4% in APD (Kruskal-Wallis Conclusions: Integration of remote monitoring into APD was associated with improved adherence, reduced hospitalization burden, and better volume control compared with conventional PD modalities. These findings provide real-world evidence that RPM-enabled home dialysis can enhance both clinical outcomes and health care efficiency, supporting broader implementation of telehealth-based care models for patients with end-stage kidney disease.
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