The role of remote patient monitoring in peritoneal dialysis – understanding patient perspectives

Dr Benjamin Talbot1,2, Dr Sara Farnbach3, Professor Steve Chadban4,5, Dr Shaundeep Sen2,6, Professor Martin Gallagher1,2,6, Professor John Knight1

1The George Institute for Global Health, University of New South Wales, Sydney, Australia, 2Concord Clinical School, University of Sydney, Sydney, Australia, 3National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia, 4Charles Perkins Centre, University of Sydney, Sydney, Australia, 5Royal Prince Alfred Hospital, Sydney, Australia, 6Concord Repatriation General Hospital, Sydney, Australia

Introduction

Remote patient monitoring (RPM) has potential to assist with managing patients treated with peritoneal dialysis (PD), offering possible financial and environmental savings in addition to improved clinical oversight and patient support. Despite this, few studies have considered patients’ perspectives regarding RPM in PD management. We aimed to identify current practices of data recording/patient monitoring in PD and to better understand consumer opinion regarding the role of RPM.

Method

Patients, caregivers and healthcare providers from an urban PD facility in Australia were purposefully selected and invited to complete qualitative semi-structured interviews. Interviews were recorded, transcribed and inductively coded using grounded theory.

Results

Nine PD patients and 5 healthcare professionals (2 physicians, 3 PD nurses) were interviewed. Median patient age was 69 years (IQR 64-73), median duration of PD therapy was 30 months (IQR 6-42) and 2 patients were using RPM at the time of interview.  Preliminary analysis has identified major themes regarding current data monitoring practices, including: 1. influence of dialysis unit preference on patients’ data recording practices and 2. differing patient practices regarding abnormal data. Major themes developed regarding the role of RPM include: 1. impact of RPM to clinical care, 2. change in patient-dialysis unit relationships, 3. data sharing/protection, and 4. perceived barriers to data recording.

Conclusion

RPM may offer a useful adjunct to the care of patients treated with PD, however, some patients and healthcare providers have concerns about potential barriers and data security. Participants also identified potential for RPM use to alter the patient-dialysis unit relationship.


Biography:

Benjamin Talbot is a renal advanced trainee from the UK currently completing a PhD at the George Institute for Global Health, Sydney, Australia

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