Effect of Combining Conventional and Telehealth Methods on Managing Peritoneal Dialysis Patients: A Retrospective Single-Center Study

Overview

Journal Int J Clin Pract

Publisher Wiley

Specialty General Medicine

Date 2022 Jun 10

PMID 35685587

Authors

Zhi Wang

Wenjing Yan

Ying Lu

Kai Song

Huaying Shen

Yun Wang

Sheng Feng

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to explore follow-up mode changes for peritoneal dialysis (PD) patients and their effects on PD quality during the COVID-19 pandemic.

Methods: A retrospective single-center study was conducted. All patients who received PD treatment at the Second Affiliated Hospital of Soochow University between January 2018 and March 2020 were enrolled in this study. Patient data during the first quarter of 2018 (Q1-2018), the first quarter of 2019 (Q1-2019), and the first quarter of 2020 (Q1-2020) were collected.

Results: No significant differences were observed for any serum examinations in different follow-up periods ( > 0.05). A significantly reduced outpatient follow-up rate was observed in Q1-2020 compared with Q1-2018 and Q1-2019 (71.6% Vs 78.9% Vs 84.7%, < 0.001), accompanied by a significantly increased remote follow-up rate (28.4% Vs 21.1% Vs 15.3%, < 0.001). Compared with Q1-2018 and Q1-2019, the hospitalization rate (27.7% Vs 30.9% Vs 15.7%, < 0.001) and the incidence of peritonitis (0.162 Vs 0.186 Vs 0.08 per patient-year, < 0.001) decreased significantly in Q1-2020. PD patients had a significant decline in the drop-out rate for Q1-2020 compared with Q1-2019 (4.4% Vs 7.3% Vs 2.2%, < 0.001). No differences in the incidence of catheter-related infections were observed. No significant differences were observed for any peritoneal dialysis key performance indicators (KPIs) between outpatient follow-up and remote follow-up patients.

Conclusion: During the COVID-19 pandemic (Q1-2020), our center practiced more remote follow-up procedures in PD patients. The hospitalization rate and peritonitis incidence were significantly decreased compared with the same time in previous years. No statistical differences were observed in other KPIs for peritoneal dialysis. This study shows that telehealth methods are a reasonable alternative to in-person care in the care/management of PD patients.

Citing Articles

Providing Optimal Care for Children on Chronic Peritoneal Dialysis during the COVID-19 Pandemic: Challenges in a Resource-Limited Setting.

Kamath N, Shiri S, Iyengar A Indian J Nephrol. 2023; 33(5):404-405.

PMID: 37881744 PMC: 10593292. DOI: 10.4103/ijn.ijn_368_22.

Telemedicine and peritoneal dialysis: the future is now.

Fernandes N, Franco M J Bras Nefrol. 2022; 44(4):466-467.

PMID: 35984098 PMC: 9838663. DOI: 10.1590/2175-8239-JBN-2022-E007en.

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