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Compliance in automated peritoneal dialysis
Loris Neri1, Giusto Viglino, Agnese Cappelletti
1U.O.A. Nefrologia e Dialisi, Ospedale San Lazzaro, Alba, Cuneo, Italy.
Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|October 31, 2002
Summary
Automated peritoneal dialysis (APD) compliance is accurately assessed using the HCpro system, revealing a lower noncompliance rate (1.2%) than previously reported. This technology enhances the precision of monitoring dialysis treatments.
Area of Science:
- Nephrology
- Medical Technology
Background:
- Peritoneal dialysis (PD) adherence is crucial for effective treatment.
- Previous methods for assessing automated peritoneal dialysis (APD) compliance reported 10-20% noncompliance.
- New APD devices offer precise recording of dialysis treatments.
Purpose of the Study:
- To evaluate the effectiveness of the PDLink software and HomeChoice Pro (HCpro) system in assessing APD patient compliance.
- To determine the actual rate of noncompliance in APD patients using recorded treatment data.
Main Methods:
- Retrospective analysis of 3 months of dialysis treatments (DTs) from 19 APD patients using PDLink software.
- Patients were treated with the HCpro system, with self-administration in 63% and partner assistance in 37% of cases.
- Recorded DTs were analyzed for missed sessions, volume irregularities, and session length deviations.
Main Results:
- Out of 1673 recorded DTs, only 20 (1.2%) were not performed.
- Most patients (9/19) completed all prescribed sessions; only one patient missed 4 sessions.
- No significant irregularities in prescribed volumes or session length were observed.
Conclusions:
- The HCpro system is effective for precise assessment of APD compliance.
- This study found a significantly lower noncompliance rate (1.2%) compared to previous reports.
- The advanced recording capabilities of the HCpro system offer greater sensitivity in compliance monitoring.