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06 April 2023: Clinical Research

Evaluation of the Impact of Remote Monitoring Using the Sharesource Connectivity Platform on Adherence to Automated Peritoneal Dialysis in 51 Patients

Min-Yu Chang 12AEF , Po-Jui Chi 123ABCD , Hsi-Hao Wang 12A , Yi-Che Lee 12A , Li-Chun Ho 12F , Ching-Fang Wu 124CD , Ching-Yang Chen 12DF , Hung-Hsiang Liou 15AF , Shih-Yuan Hung 16AD*

DOI: 10.12659/MSM.939523

Med Sci Monit 2023; 29:e939523

Table 1 Clinical and laboratory parameters at baseline, after HomeChoice Claria machine and after connection with remote patient monitoring (RPM) system (n=51).

Clinical and laboratory parametersCourse
Phase 1: HomeChoice, baselinePhase 2: HomeChoice Claria without RPMPhase 3: HomeChoice Claria with RPMP value
Age (years)51.5±12.6
Weight (Kg)58 (50.8–73.1)
Male, n (%)31 (60.8)
DM, n (%)14 (27.5)
Hypertension, n (%)44 (86.3)
CKD etiology
Diabetic nephropathy, n (%)11 (21.2)
Hypertension, n (%)4 (7.7)
CIN, n (%)12 (23.1)
Glomerular disease, n (%)15 (28.8)
ADPKD, n (%)3 (5.8)
Others, n (%)7 (13.5)
PD Vintage (month)69.5±39.9
Non-adherence rate (%)10.5±265.1±12.74.9±13.20.808
BUN (mg/dL)59.4±13.463.6±13.865.4±13.4a 0.004*
Serum creatinine (mg/dL)12.9±3.313.3±3.513.4±3.50.013*
Sodium (meq/L)137 (136–140)138 (135–140)138 (135–141)0.916
Potassium (meq/L)4.02±0.684.02±0.553.63±0.72,a *
CRP (mg/dL)3.1 (0.7–11.9)2.9 (0.7–7.8)2.1 (0.9–7.6)a 0.026*
Residual urine volume (ml/day)235±509181±413a 156±360a 0.01*
Residual CCR (ml/min/1.73m)0 (0–0.338)0 (0–0.3)a 0 (0–0.172),a *
Total Kt/V per week2.04 (1.84–2.22)1.99 (1.81–2.17)1.95 (1.78–2.2)0.131
PD Kt/V per week1.94±0.331.9±0.31.95±0.30.171
Normally distributed continuous variables are presented as the mean±standard deviation (repeated-measure one-way ANOVA test); variables not normally distributed are presented as median and interquartile range (Friedman test); and categoric variables are presented as number (%).
* Values of
a
b
DM – diabetes mellitus; CKD – chronic kidney disease; CIN – chronic interstitial nephritis; ADPKD – autosomal dominant polycystic kidney disease; PD – peritoneal dialysis; BUN – blood urea nitrogen; CRP – C-reactive protein; CCR – creatinine clearance rate.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750