Paniagua, R.; Rojas, M.; Ramos, A. (Ciudad de México)
Use of Sharesource in Remote Patient Management in Peritoneal Dialysis: A UK Nurse’s Perspective
Blaauw, M. (London)
Eyolfson, K. (Winnipeg, MB)
Clinical Challenges and Unmet Clinical Needs
Remote Patient Management in Peritoneal Dialysis: An Answer to an Unmet Clinical Need
John, O. (New Delhi/Sydney, NSW); Jha, V. (New Delhi/Sydney, NSW/Oxford)
Can Remote Patient Management Improve Outcomes in Peritoneal Dialysis?
Li, L. (Dalian); Perl, J. (Toronto, ON)
Clinical Experience with RPM in PD
Remote Patient Management in Peritoneal Dialysis Improves Clinical Outcomes
Milan Manani, S.; Crepaldi, C.; Giuliani, A.; Virzì, G.M.; Proglio, M. (Vicenza); Ronco, C. (Vicenza/Padova)
Clinical Challenges and Unmet Clinical Needs
Health Economic Implications of Remote Patient Management
Rosner, M.H.; Khan, S. (Charlottesville, VA)
Remote Patient Management for Emerging Geographical Areas
Yu, X.; Yang, X. (Guangzhou)
Remote Patient Monitoring in Home Dialysis: Planning Considerations for the Future
Whitlow, M.; Wallace, E. (Birmingham, AL)
Clinical Experience with RPM in PD
Remote Patient Management: The Future is G.R.E.E.N.
Ronco, C. (Vicenza/Padova); Crepaldi, C.; Milan Manani, S.; Giuliani, A. (Vicenza); Rosner, M.H. (Charlotteville, VA)
Telemedicine (TM) and remote patient management (RPM) are innovative tools for providing remote transmission, interpretation and storage of clinical parameters, physiological variables or images/videos which can be sent to a central monitoring center for review and intervention of the care team. These tools allow for accurate home monitoring of patients, enabling the team to improve care through prevention and early identification of problems, with consequent timely interventions. TM and RPM have been proven to be useful in chronic diseases such as heart failure, diabetes, and hypertension. Some of the goals of TM and RPM are to allow patients to maintain their normal life activities, preventing complications and minimizing costs. In the dialysis setting, TM and RPM have been sporadically utilized, and single-center reports have demonstrated patient satisfaction and effective utility with the provision of timely interventions. Technological innovations in this area are occurring at a rapid rate and clinicians are increasingly turning to TM and RPM as solutions for improving care and outcomes. The care of patients on peritoneal dialysis is an ideal model for using TM and RPM, and this volume highlights these opportunities.
Recently, a novel automated cycler for peritoneal dialysis, connected with a modem to a cloud-based network, has been introduced in clinical practice (HOMECHOICE CLARIATM, Baxter Healthcare, Deerfield, IL, USA). This equipment has a built-in remote treatment monitoring capability, with the ability to receive and transmit data through a TM platform from and to a PD center. RPM with this platform offers the potential benefits of accurate monitoring of therapy, improved patient safety through surveillance of critical stages of treatment, early detection of problems or non-compliance to prescription.
The book is structured into 4 main parts. The first describes the evolution of peritoneal dialysis and related technology. The second part summarizes the current unmet clinical needs reported by patients and care team, the need for innovation in this field, the technical and clinical issues involved with the modern management of peritoneal dialysis. The third part presents the operational characteristics of the new information communication technology system and in detail, the features of the Sharesource platform. Finally, a series of field experiences by expert users are reported that describe the benefits and the potential applications of RPM in the future.
The ultimate scope of the book, therefore, is to collect the experience of clinical key opinion leaders who had been involved in the application of this remote management system and have been instrumental in the application and evolution of some aspects of the system.
Carlo Crepaldi
Mitchell H. Rosner
Claudio Ronco
Evolution of Peritoneal Dialysis Technology
Ronco C, Crepaldi C, Rosner MH (eds): Remote Patient Management in Peritoneal Dialysis.
Contrib Nephrol. Basel, Karger, 2019, vol 197, pp 1–8 (DOI: 10.1159/000496301)
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Historical Milestones in Peritoneal Dialysis
Gautam M. Phadkea · Madhukar Misrab
aUniversity of North Dakota School of Medicine, Sanford Health, Fargo, ND, USA; bUniversity of Missouri, Columbia, MO, USA
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Abstract
Two and a half centuries have passed since the therapeutic use of peritoneal cavity for the treatment of ascites by peritoneal lavage was reported. George Ganter was the first to describe the use of peritoneal dialysis (PD) in humans. This chapter will describe the various milestones in the field of PD achieved over the years. These include the understanding of solute and water transport across the peritoneal membrane, developments in PD technique and technology, progress in the prevention and treatment of infections, and other important milestones.
© 2019 S. Karger AG, Basel
The concept of peritoneal dialysis (PD) as a possible mode of renal replacement therapy is almost a century old. This chapter will trace the origins of PD from its early days and subsequently describe the various historical milestones achieved since its inception to the present day under the following subheads:
•The peritoneal membrane/cavity as a therapeutic tool
•PD solutions (PDS)
•PD technique evolution
•The