Compliance with automated peritoneal dialysis.

Area of Science:

• Nephrology
• Medical Technology

Background:

• Patient compliance is a critical challenge in peritoneal dialysis, with reported non-compliance rates ranging from 10-40% in continuous ambulatory peritoneal dialysis (CAPD).
• Non-compliance appears less prevalent in automated peritoneal dialysis (APD), estimated between 15-20%.

Purpose of the Study:

• To assess the compliance rates of patients undergoing automated peritoneal dialysis (APD).
• To evaluate the reliability of APD treatment parameters recorded by the Home Choice Pro device.

Main Methods:

• A cohort of 23 patients on APD for over 3 months was studied.
• Treatment compliance was assessed over 30 days using the Home Choice Pro device, analyzing treatment volumes, session duration, and treatment days against prescribed parameters.

Main Results:

• No significant differences were found between prescribed and actual dialysis volumes or session durations.
• Only 3 patients (13%) showed deviations in treatment days: 2 self-administered patients missed one day each (with center approval), and 1 patient (4.3%) receiving family-administered treatment missed 4 days.

Conclusions:

• Automated peritoneal dialysis (APD) demonstrates a high level of patient compliance, with a non-compliance rate of only 4.3% in this study.
• APD, particularly when self-administered and monitored by devices like Home Choice Pro, offers a reliable and compliant dialysis modality.