Outcomes of Remote Patient Monitoring in Peritoneal Dialysis: A Meta-Analysis and Review of Practical Implications for COVID-19 Epidemics

被引:1
|
作者
Ali, Hatem [1 ]
Mohamed, Mahmoud M. [2 ]
Fulop, Tibor [3 ,4 ]
Hamer, Rizwan [1 ]
机构
[1] Univ Hosp Coventry & Warwickshire, Renal, Coventry, W Midlands, England
[2] North Mississippi Med Ctr, Dept Internal Med, Tupelo, MS USA
[3] Med Univ South Carolina, Dept Med, Div Nephrol, Charleston, SC USA
[4] Ralph H Johnson VA Med Ctr, Med Serv, Charleston, SC USA
关键词
automated peritoneal dialysis; hospitalization rate; quality of life; remote patient monitoring; technique failure; MANAGEMENT; EXPERIENCES; SURVIVAL; PROGRAM;
D O I
10.1097/MAT.0000000000001891
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
The present study seeks to determine clinical outcomes associated with remote patient monitoring of peritoneal dialysis (RPM-PD), with potential implications during COVID-19 outbreaks. We performed a systematic review in the PubMed, Embase, and Cochrane databases. We combined all study-specific estimates using the inverse-variant weighted averages of logarithmic relative risk (RR) in the random-effects models. Confidence interval (CI) including the value of 1 was used as evidence to produce a statistically significant estimate. Twenty-two studies were included in our meta-analysis. Quantitative analysis demonstrated that RPM-PD patients had lower rates of technique failure (log RR = -0.32; 95% CI, -0.59 to -0.04), lower hospitalization rates (standardized mean difference = -0.84; 95% CI, -1.24 to -0.45), and lower mortality rates (log RR = -0.26; 95% CI, -0.44 to -0.08) compared with traditional PD monitoring. RPM-PD has better outcomes in multiple spheres of outcomes when compared with conventional monitoring and likely increases system resilience during disruptions of healthcare operations.
引用
收藏
页码:E142 / E148
页数:7
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