LockdownV1, Main, Exploration, bibRecord, 000758

[Remote patient monitoring in dialysis patients: the "change of pace" for home dialysis.]

Identifieur interne : 000758 ( Main/Exploration ); précédent : 000757; suivant : 000759

[Remote patient monitoring in dialysis patients: the "change of pace" for home dialysis.]

Auteurs : Silvio Borrelli ; Vittoria Frattolillo ; Carlo Garofalo ; Michele Provenzano ; Raffaele Genualdo ; Giuseppe Conte ; Roberto Minutolo ; Luca De Nicola

Source :

Recenti progressi in medicina [ 2038-1840 ]

RBID : pubmed:32658879

Descripteurs français

English descriptors

KwdEn :
- Automation (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Coronavirus Infections (prevention & control), Cost Savings (MeSH), Disease Susceptibility (MeSH), Health Services Accessibility (MeSH), Hemodialysis, Home (economics), Hemodialysis, Home (methods), Humans (MeSH), Kidney Failure, Chronic (psychology), Kidney Failure, Chronic (therapy), Monitoring, Physiologic (instrumentation), Monitoring, Physiologic (methods), Pandemics (prevention & control), Patient Compliance (MeSH), Peritoneal Dialysis (instrumentation), Peritoneal Dialysis (methods), Pneumonia, Viral (prevention & control), Precision Medicine (MeSH), SARS-CoV-2 (MeSH), Social Isolation (MeSH), Telemedicine (MeSH).
MESH :
- economics : Hemodialysis, Home.
- instrumentation : Monitoring, Physiologic, Peritoneal Dialysis.
- methods : Hemodialysis, Home, Monitoring, Physiologic, Peritoneal Dialysis.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- psychology : Kidney Failure, Chronic.
- therapy : Kidney Failure, Chronic.
- Automation, Betacoronavirus, COVID-19, Cost Savings, Disease Susceptibility, Health Services Accessibility, Humans, Patient Compliance, Precision Medicine, SARS-CoV-2, Social Isolation, Telemedicine.

Abstract

Lockdown and self-isolation are to date the only solution to limit the spread of recent outbreak of coronavirus disease (CoViD-19), highlighting the great advantage of home dialysis in a patient otherwise forced to travel from / to the dialysis center to receive this "life-saving" treatment. Indeed, to prevent spreading of CoViD-19 infection among extremely fragile dialysis patients, as well as among dialysis workers, hemodialysis (HD) centers are adopting specific procedures ("dedicated" dialysis facilities, portable osmosis, etc.) with a great economic and organizational commitment. Peritoneal dialysis (PD) represents a type of home dialysis therapy not yet adequately implemented to date, in spite of safe and simple practice, as well as similar dialytic efficiency vs in-center hemodialysis. Remote patient monitoring (RPM) systems have been developed in automated PD (APD) cyclers in order to improve the acceptance of this dialysis method, to increase the compliance to the prescribed therapy and to control treatment adequacy. In this review we assess the potential advantages of RPM in APD, that are the chance for patients to acquire greater independence and safety in the home treatment, to allow better access to care for residents in remote areas, faster resolution of problems, reduction in hospitalizations and mortality rates, as well as time and cost saving for both the patient and the staff. The use of medical devices (sphygmomanometer, glucometer, balance, etc.), connected by wireless to the clinician's portal, might also allow a wider diffusion of incremental dialysis, an integrated therapy that combines conservative management of ESKD patients with a soft dialysis based on the residual kidney function and symptomatology, with potential prognosis and economic benefits. Although the majority of the studies are small and observational, a wider use of RPM systems is desirable to broaden the spread of home dialysis, as we learnt from Coronavirus pandemic.

DOI: 10.1701/3407.33922
PubMed: 32658879

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 002068
to stream Main, to step Curation: 002068

Le document en format XML

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<term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Cost Savings (MeSH)</term>
<term>Disease Susceptibility (MeSH)</term>
<term>Health Services Accessibility (MeSH)</term>
<term>Hemodialysis, Home (economics)</term>
<term>Hemodialysis, Home (methods)</term>
<term>Humans (MeSH)</term>
<term>Kidney Failure, Chronic (psychology)</term>
<term>Kidney Failure, Chronic (therapy)</term>
<term>Monitoring, Physiologic (instrumentation)</term>
<term>Monitoring, Physiologic (methods)</term>
<term>Pandemics (prevention & control)</term>
<term>Patient Compliance (MeSH)</term>
<term>Peritoneal Dialysis (instrumentation)</term>
<term>Peritoneal Dialysis (methods)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Precision Medicine (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Social Isolation (MeSH)</term>
<term>Telemedicine (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé (MeSH)</term>
<term>Automatisation (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Dialyse péritonéale (instrumentation)</term>
<term>Dialyse péritonéale (méthodes)</term>
<term>Défaillance rénale chronique (psychologie)</term>
<term>Défaillance rénale chronique (thérapie)</term>
<term>Humains (MeSH)</term>
<term>Hémodialyse à domicile (méthodes)</term>
<term>Hémodialyse à domicile (économie)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Isolement social (MeSH)</term>
<term>Monitorage physiologique (instrumentation)</term>
<term>Monitorage physiologique (méthodes)</term>
<term>Médecine de précision (MeSH)</term>
<term>Observance par le patient (MeSH)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Prédisposition aux maladies (MeSH)</term>
<term>Télémédecine (MeSH)</term>
<term>Économies (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Hemodialysis, Home</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Monitoring, Physiologic</term>
<term>Peritoneal Dialysis</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Hemodialysis, Home</term>
<term>Monitoring, Physiologic</term>
<term>Peritoneal Dialysis</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Dialyse péritonéale</term>
<term>Hémodialyse à domicile</term>
<term>Monitorage physiologique</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Défaillance rénale chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Kidney Failure, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Kidney Failure, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Défaillance rénale chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Dialyse péritonéale</term>
<term>Hémodialyse à domicile</term>
<term>Monitorage physiologique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Automation</term>
<term>Betacoronavirus</term>
<term>COVID-19</term>
<term>Cost Savings</term>
<term>Disease Susceptibility</term>
<term>Health Services Accessibility</term>
<term>Humans</term>
<term>Patient Compliance</term>
<term>Precision Medicine</term>
<term>SARS-CoV-2</term>
<term>Social Isolation</term>
<term>Telemedicine</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term>
<term>Automatisation</term>
<term>Betacoronavirus</term>
<term>Humains</term>
<term>Isolement social</term>
<term>Médecine de précision</term>
<term>Observance par le patient</term>
<term>Prédisposition aux maladies</term>
<term>Télémédecine</term>
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<front><div type="abstract" xml:lang="en">Lockdown and self-isolation are to date the only solution to limit the spread of recent outbreak of coronavirus disease (CoViD-19), highlighting the great advantage of home dialysis in a patient otherwise forced to travel from / to the dialysis center to receive this "life-saving" treatment. Indeed, to prevent spreading of CoViD-19 infection among extremely fragile dialysis patients, as well as among dialysis workers, hemodialysis (HD) centers are adopting specific procedures ("dedicated" dialysis facilities, portable osmosis, etc.) with a great economic and organizational commitment. Peritoneal dialysis (PD) represents a type of home dialysis therapy not yet adequately implemented to date, in spite of safe and simple practice, as well as similar dialytic efficiency vs in-center hemodialysis. Remote patient monitoring (RPM) systems have been developed in automated PD (APD) cyclers in order to improve the acceptance of this dialysis method, to increase the compliance to the prescribed therapy and to control treatment adequacy. In this review we assess the potential advantages of RPM in APD, that are the chance for patients to acquire greater independence and safety in the home treatment, to allow better access to care for residents in remote areas, faster resolution of problems, reduction in hospitalizations and mortality rates, as well as time and cost saving for both the patient and the staff. The use of medical devices (sphygmomanometer, glucometer, balance, etc.), connected by wireless to the clinician's portal, might also allow a wider diffusion of incremental dialysis, an integrated therapy that combines conservative management of ESKD patients with a soft dialysis based on the residual kidney function and symptomatology, with potential prognosis and economic benefits. Although the majority of the studies are small and observational, a wider use of RPM systems is desirable to broaden the spread of home dialysis, as we learnt from Coronavirus pandemic.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32658879</PMID>
<DateCompleted><Year>2020</Year>
<Month>07</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2038-1840</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>111</Volume>
<Issue>7</Issue>
<PubDate><MedlineDate>2020 Jul-Aug</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Recenti progressi in medicina</Title>
<ISOAbbreviation>Recenti Prog Med</ISOAbbreviation>
</Journal>
<ArticleTitle>[Remote patient monitoring in dialysis patients: the "change of pace" for home dialysis.]</ArticleTitle>
<Pagination><MedlinePgn>404-410</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1701/3407.33922</ELocationID>
<Abstract><AbstractText>Lockdown and self-isolation are to date the only solution to limit the spread of recent outbreak of coronavirus disease (CoViD-19), highlighting the great advantage of home dialysis in a patient otherwise forced to travel from / to the dialysis center to receive this "life-saving" treatment. Indeed, to prevent spreading of CoViD-19 infection among extremely fragile dialysis patients, as well as among dialysis workers, hemodialysis (HD) centers are adopting specific procedures ("dedicated" dialysis facilities, portable osmosis, etc.) with a great economic and organizational commitment. Peritoneal dialysis (PD) represents a type of home dialysis therapy not yet adequately implemented to date, in spite of safe and simple practice, as well as similar dialytic efficiency vs in-center hemodialysis. Remote patient monitoring (RPM) systems have been developed in automated PD (APD) cyclers in order to improve the acceptance of this dialysis method, to increase the compliance to the prescribed therapy and to control treatment adequacy. In this review we assess the potential advantages of RPM in APD, that are the chance for patients to acquire greater independence and safety in the home treatment, to allow better access to care for residents in remote areas, faster resolution of problems, reduction in hospitalizations and mortality rates, as well as time and cost saving for both the patient and the staff. The use of medical devices (sphygmomanometer, glucometer, balance, etc.), connected by wireless to the clinician's portal, might also allow a wider diffusion of incremental dialysis, an integrated therapy that combines conservative management of ESKD patients with a soft dialysis based on the residual kidney function and symptomatology, with potential prognosis and economic benefits. Although the majority of the studies are small and observational, a wider use of RPM systems is desirable to broaden the spread of home dialysis, as we learnt from Coronavirus pandemic.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Borrelli</LastName>
<ForeName>Silvio</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Cattedra di Nefrologia, Università della Campania Luigi Vanvitelli, Napoli.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Frattolillo</LastName>
<ForeName>Vittoria</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Cattedra di Nefrologia, Università della Campania Luigi Vanvitelli, Napoli.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Garofalo</LastName>
<ForeName>Carlo</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Cattedra di Nefrologia, Università della Campania Luigi Vanvitelli, Napoli.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Provenzano</LastName>
<ForeName>Michele</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Cattedra di Nefrologia, Università Magna Grecia, Catanzaro.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Genualdo</LastName>
<ForeName>Raffaele</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Unità di Nefrologia, Ospedale dei Pellegrini, Napoli.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Conte</LastName>
<ForeName>Giuseppe</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Cattedra di Nefrologia, Università della Campania Luigi Vanvitelli, Napoli.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Minutolo</LastName>
<ForeName>Roberto</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Cattedra di Nefrologia, Università della Campania Luigi Vanvitelli, Napoli.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>De Nicola</LastName>
<ForeName>Luca</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Cattedra di Nefrologia, Università della Campania Luigi Vanvitelli, Napoli.</Affiliation>
</AffiliationInfo>
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<VernacularTitle>Monitoraggio da remoto del paziente in dialisi: il cambio di passo per la dialisi domiciliare?</VernacularTitle>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName>
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<MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
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<MeshHeading><DescriptorName UI="D017046" MajorTopicYN="N">Cost Savings</DescriptorName>
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<MeshHeading><DescriptorName UI="D004198" MajorTopicYN="N">Disease Susceptibility</DescriptorName>
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<MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName>
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<MeshHeading><DescriptorName UI="D006437" MajorTopicYN="Y">Hemodialysis, Home</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D008991" MajorTopicYN="N">Monitoring, Physiologic</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
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<MeshHeading><DescriptorName UI="D010349" MajorTopicYN="N">Patient Compliance</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010530" MajorTopicYN="N">Peritoneal Dialysis</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057285" MajorTopicYN="N">Precision Medicine</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012934" MajorTopicYN="N">Social Isolation</DescriptorName>
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<tree><noCountry><name sortKey="Borrelli, Silvio" sort="Borrelli, Silvio" uniqKey="Borrelli S" first="Silvio" last="Borrelli">Silvio Borrelli</name>
<name sortKey="Conte, Giuseppe" sort="Conte, Giuseppe" uniqKey="Conte G" first="Giuseppe" last="Conte">Giuseppe Conte</name>
<name sortKey="De Nicola, Luca" sort="De Nicola, Luca" uniqKey="De Nicola L" first="Luca" last="De Nicola">Luca De Nicola</name>
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	Serveur d'exploration sur le confinement (PubMed)
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Serveur d'exploration sur le confinement (PubMed)

[Remote patient monitoring in dialysis patients: the "change of pace" for home dialysis.]

[Remote patient monitoring in dialysis patients: the "change of pace" for home dialysis.]

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