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Diálisis Peritoneal Asistida: Un Proyecto de Viabilidad y Mejora de la Calidad
Hyunji Kim1, Mary Nguyen1, Page Salenger2
1Dialysis Clinic, Inc, Nashville, TN.
Kidney medicine
|January 8, 2026
Resumen
La diálisis peritoneal asistida (DP) puede ayudar a los pacientes a manejar la diálisis en el hogar, pero la dotación de personal es un desafío. Este programa mostró éxito en permitir la continuación de la DP y la independencia para algunos pacientes.
Área de la Ciencia:
- Nefrología
- Terapia de Reemplazo Renal
Sus antecedentes:
- La diálisis peritoneal domiciliaria (DP) ofrece una mejor calidad de vida pero presenta desafíos para muchos pacientes.
- La disponibilidad de cuidadores y las dificultades de inicio para los pacientes pueden impedir una terapia de DP exitosa.
Objetivo del estudio:
- Evaluar la viabilidad y los resultados de un programa de diálisis peritoneal asistida (DP).
- Identificar los desafíos y éxitos en la provisión de asistencia de DP.
Principales métodos:
- Se ofrecieron servicios de DP asistida en dos clínicas de diálisis en el hogar durante tres años (mayo de 2021 - octubre de 2024).
- Se brindó asistencia a pacientes incidentes y establecidos de DP que requerían apoyo temporal o permanente.
- Se contrató a estudiantes post-bachillerato como asistentes para horarios de trabajo impredecibles.
Principales resultados:
- Seis pacientes recibieron DP asistida, con duraciones de asistencia variables de 1 día a 5 meses.
- Tres pacientes pasaron a la independencia de la DP, mientras que tres fueron trasladados a hemodiálisis en centro.
- Se observaron tratamientos perdidos mínimos y una alta tasa de continuación de la DP.
Conclusiones:
- Los programas de DP asistida pueden tener éxito, especialmente con personal dedicado, pero enfrentan desafíos de reclutamiento.
- La incorporación de la DP asistida dentro del sistema de atención médica podría mejorar la eficiencia a través de economías de escala.
- Compartir los datos del programa es crucial para avanzar en la DP asistida en los EE. UU.
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