Variations in provider practices in remote patient monitoring on peritoneal dialysis in the USA and Canada

被引:0
作者
El Shamy, O. [1 ]
Fadel, R. [2 ]
Weinhandl, E. D. [3 ,4 ]
Abra, G. [5 ]
Salani, M. [2 ]
Shen, J., I [6 ,7 ]
Perl, J. [8 ]
Malavade, T. S. [9 ]
Chatoth, D. [10 ]
Naljayan, M., V [11 ,12 ]
Meyer, K. B. [13 ,14 ]
Lew, S. Q. [1 ]
Oliver, M. J. [15 ]
Golper, T. A. [2 ,16 ]
Uribarri, J. [17 ]
Quinn, R. R. [18 ,19 ]
机构
[1] George Washington Univ, Div Renal Dis & Hypertens, Washington, DC USA
[2] Vanderbilt Univ, Med Ctr, Div Nephrol & Hypertens, Nashville, TN USA
[3] Univ Minnesota, Dept Pharmaceut Care & Hlth Syst, Minneapolis, MN USA
[4] DaVita Clin Res, Minneapolis, MN USA
[5] Stanford Univ, Div Nephrol, Palo Alto, CA USA
[6] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Los Angeles, CA USA
[7] UCLA Med Ctr, Lundquist Res Inst Harbor, Div Nephrol & Hypertens, Torrance, CA USA
[8] Univ Toronto, St Michaels Hosp, Div Nephrol, Toronto, ON, Canada
[9] Univ Toronto, Univ Hlth Network, Div Nephrol, Toronto, ON, Canada
[10] Fresenius Med Care, Waltham, MA USA
[11] DaVita Kidney Care, Denver, CO USA
[12] Louisiana State Univ, Sch Med, Sect Nephrol & Hypertens, New Orleans, LA USA
[13] Dialysis Clin Inc, Home Dialysis Workgroup, Nashville, TN USA
[14] Tufts Med Ctr, Div Nephrol, Boston, MA USA
[15] Univ Toronto, Dept Med, Div Nephrol, Toronto, ON, Canada
[16] Univ Vermont, Robert Larner Coll Med, Div Nephrol, Burlington, VT USA
[17] Icahn Sch Med Mt Sinai, Dept Med, Div Nephrol, New York, NY USA
[18] Univ Calgary, Cumming Sch Med, Dept Med, Calgary, AB, Canada
[19] Univ Calgary, Cumming Sch Med, Dept Community Hlth Sci, Calgary, AB, Canada
来源
PERITONEAL DIALYSIS INTERNATIONAL | 2024年
关键词
Dialysis; peritoneal dialysis; remote; patient monitoring;
D O I
10.1177/08968608241270294
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Automation has allowed clinicians to program PD treatment parameters, all while obtaining extensive individual treatment data. This data populates in a centralized online platform shortly after PD treatment completion. Individual treatment data available to providers includes patients' vital signs, alarms, bypasses, prescribed PD treatment, actual treatment length, individual cycle fill volumes, ultrafiltration volumes, as well as fill, dwell, and drain times. However, there is no guidance about how often or if this data should be assessed by the clinical team members. We set out to determine current practice patterns by surveying members of the home dialysis team managing PD patients across the United States and Canada. A total of 127 providers completed the survey. While 91% of respondents reported having access to a remote monitoring platform, only 31% reported having a standardized protocol for data monitoring. Rating their perceived importance of having a standard protocol for remote data monitoring, on a scale of 0 (not important at all) to 10 (extremely important), the average response was 8 (physicians 7; nurses 9). Most nurses reported reviewing the data multiple times per week, whereas most physicians reported viewing the data only during regular/monthly visits. Although most of the providers who responded have access to remote monitoring data and feel that regular review is important, the degree of its utilization is variable, and the way in which the information is used is not commonly protocolized. Working to standardize data interpretation, testing algorithms, and educating providers to help process and present the data are important next steps.
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页数:5
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