Teleguidance of patients on ambulatory peritoneal dialysis using the "Telenefrocenter" platform for remote monitoring and rehabilitation


DOI: https://dx.doi.org/10.18565/nephrology.2023.2.6-10

Berdinsky V.A., Kotenko O.N., Kargalskaya I.G., Ivanova E.S., Vinogradov V.E., Frolova N.F.

Moscow City Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology City Clinical Hospital № 52 of the Moscow HealthcareDepartment, Moscow, Russia
Objective. Analysis of the results of using remote teleguidance for patients on ambulatory peritoneal dialysis (PD) in preventing the development of dialysis peritonitis.
Material and methods. A retrospective study based on the results of remote monitoring and questionnaires returns of 140 patients on PD, followed-up at the PD Department of the Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology, City Clinical Hospital № 52, using the "Telenefrocenter" platform for remote monitoring and rehabilitation was conducted. Patients were divided according to the method of follow-up: group 1 (100 patients) - patients on PD treatment who were followed-up at the dialysis center for 16 months; group 2 (40 patients) were followed-up at the dialysis center using the "Telenephrocenter" platform for remote monitoring and questionnaires for assessing the quality of life and a specially designed "Peritoneal dialysis" questionnaire.
Results. The study revealed relationship between the use of remote teleguidance and decrease in the development of infectious complications (dialysis peritonitis, infection of the peritoneal catheter exit site).
Conclusion. Remote monitoring using the "Telenefrocenter" platform makes it possible to identify serious symptoms in patients on PD that occur during treatment, which can lead to the development of infectious and mechanical complications of PD. The use of two-way communication with patients provides early detection and prevention of the development of various complications of PD, as well as significantly increases the effectiveness of the method and adherence to treatment.

About the Autors


Vitaly A.Berdinsky – Head of the Nephrology Department № 4, City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: vitaly.berdinsky@yandex.ru. ORCID: https://orcid.org/0000-0001-5966-0415.
Ekaterina S. Ivanova – Cand. Sci. (Med.), Nephrologist, Nephrology Department № 1, City Clinical Hospital № 52 of the Moscow Healthcare Department.
Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: katerineiv@mail.ru. ORCID: https://orcid.org/0000-0001-7407-5695.
Oleg N. Kotenko – Cand. Sci. (Med.), Chief External Expert in Nephrology of the Moscow Healthcare Department, Head of the Scientific and Practical Center for Nephrology and Transplanted Kidney Pathology, City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182;
e-mail: olkotenko@yandex.ru. ORCID: https://orcid.org/0000-0001-8264-7374
Irina G. Kargalskaya – Head of the Patient-Oriented Telemedicine Committee at the All-Russian Union of Patients. Address: 3 Pekhotnaya st., Moscow, 123182;
e-mail: Kargalska@yandex.ru. ORCID: https://orcid.org/0009-0006-6261-0607.
Vladimir E. Vinogradov– Head of the Consultative and Diagnostic Nephrology Department, City Clinical Hospital № 52 of the Moscow Healthcare Department.
Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: vino-gradoff@yandex.ru. ORCID: https://orcid.org/0000-0002-2499-4770.
Nadiya F. Frolova– Cand. Sci. (Med.), Deputy Chief Physician for Nephrological Care, City Clinical Hospital № 52 of the Moscow Healthcare Department, City Clinical Hospital № 52 of the Moscow Healthcare Department. Address: 3 Pekhotnaya st., Moscow, 123182; e-mail: nadiya.frolova@yandex.ru. ORCID: http://orcid.org/0000-0002-6086-5220.


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