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Home visit program improves technique survival in peritoneal dialysis.

Francesca Martino1, Z Adıbelli, G Mason

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A home visit program for peritoneal dialysis (PD) patients significantly reduces technique failure and extends treatment duration. This program may also lower Gram-positive peritonitis and hospitalization rates, improving PD outcomes.

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Area of Science:

  • Nephrology
  • Internal Medicine
  • Public Health

Background:

  • Peritoneal dialysis (PD) is a crucial home-based therapy.
  • Patient adherence to PD prescriptions at home impacts technique survival.
  • Home visit programs may enhance PD outcomes.

Purpose of the Study:

  • To evaluate the impact of a home visit program on clinical outcomes in PD patients over one year.
  • To assess the program's effect on technique failure, peritonitis, and hospitalization rates.

Main Methods:

  • A case-control study comparing 96 PD patients with a home visit program (case group) to 92 PD patients without (control group).
  • The home visit program involved additional visits to bolster patient confidence in PD management.
  • Outcomes measured included technique failure, peritonitis episodes, and hospitalization.

Main Results:

  • The case group, though older and less autonomous, showed a significant reduction in technique failure (p = 0.004).
  • PD treatment duration was significantly extended in the home visit program group (52 vs. 48.8 weeks, p = 0.018).
  • No significant differences in overall peritonitis or hospitalization rates, but trends suggested reduced Gram-positive peritonitis and hospitalization related to PD issues in the case group.

Conclusions:

  • Home visit programs enhance PD patient survival and treatment duration.
  • These programs show potential for reducing Gram-positive peritonitis and hospitalizations.
  • Home visits are a valuable intervention for improving PD management and outcomes.