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. 2022 Aug 23;23(1):292.
doi: 10.1186/s12882-022-02869-6.

Impact of telehealth interventions added to peritoneal dialysis-care: a systematic review

Geertje K M Biebuyck  1   2 , Aegida Neradova  3   4 , Carola W H de Fijter  5 , Lily Jakulj  3   4
Affiliations

Impact of telehealth interventions added to peritoneal dialysis-care: a systematic review

Geertje K M Biebuyck et al. BMC Nephrol. .

Abstract

Background: Telehealth could potentially increase independency and autonomy of patients treated with peritoneal dialysis (PD). Moreover, it might improve clinical and economic outcomes. The demand for telehealth modalities accelerated significantly in the recent COVID-19 pandemic. We evaluated current literature on the impact of telehealth interventions added to PD-care on quality of life (QoL), clinical outcomes and cost-effectiveness.

Methods: An electronic search was performed in Embase, PubMed and the Cochrane Library in order to find studies investigating associations between telehealth interventions and: i. QoL, including patient satisfaction; ii. Standardized Outcomes in Nephrology (SONG)-PD clinical outcomes: PD-related infections, mortality, cardiovascular disease and transfer to hemodialysis (HD); iii. Cost-effectiveness. Studies investigating hospitalizations and healthcare resource utilization were also included as secondary outcomes. Due to the heterogeneity of studies, a meta-analysis could not be performed.

Results: Sixteen reports (N = 10,373) were included. Studies varied in terms of: sample size; design; risk of bias, telehealth-intervention and duration; follow-up time; outcomes and assessment tools. Remote patient monitoring (RPM) was the most frequently studied intervention (11 reports; N = 4982). Telehealth interventions added to PD-care, and RPM in particular, might reduce transfer to HD, hospitalization rate and length, as well as the number of in-person visits. It may also improve patient satisfaction.

Conclusion: There is a need for adequately powered prospective studies to determine which telehealth-modalities might confer clinical and economic benefit to the PD-community.

Keywords: Covid-19; E-health; Home-dialysis; Peritoneal dialysis; Telehealth; Telemedicine.

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Conflict of interest statement

None of the authors has any relevant disclosures or potential conflicts of interest to declare. AN has received speaker fees from Baxter and Alfasigma. LJ received a speaker fee from Alfasigma. CWHF received a speaker fee from Baxter.

Figures

Fig. 1
Fig. 1
PRISMA 2020 flow diagram of included studies
See this image and copyright information in PMC

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