Precision Medicine in Peritoneal Dialysis: An Expert Opinion on the Application of the Sharesource Platform for the Remote Management of Patients-Reference-Cited by-同舟云学术

Precision Medicine in Peritoneal Dialysis: An Expert Opinion on the Application of the Sharesource Platform for the Remote Management of Patients

Published:2024-07-30 Issue:8 Volume:14 Page:807
ISSN:2075-4426
Container-title:Journal of Personalized Medicine
language:en
Short-container-title:JPM

Author:

Neri Loris¹^ORCID,Di Liberato Lorenzo²^ORCID,Alfano Gaetano³,Allegrucci Valeria⁴,Appio Nicoletta³,Bussi Carla⁵,Cannarile Daniela Cecilia⁶,De Palma Ilaria⁷,Di Stante Silvio⁸,Pacifico Rosa⁶,Panuccio Vincenzo⁹,Porreca Silvia⁷,Terlizzi Vincenzo⁵,D’Alonzo Silvia⁴,Viglino Giusto¹⁰

Affiliation:

1. Nephrology and Dialysis Unit, Ospedale “Michele e Pietro Ferrero”, Via Tanaro, 7-9, Verduno, 12060 Cuneo, Italy

2. Nephrology and Dialysis Unit, Department of Medicine, G. d’Annunzio University, Chieti-Pescara, SS. Annunziata Hospital, 66100 Chieti, Italy

3. Nephrology Dialysis and Transplant Unit, University Hospital of Modena, 41124 Modena, Italy

4. Nephrology Unit, Policlinico Gemelli of Roma, 00168 Roma, Italy

5. Nephrology Operative Unit, ASST Spedali Civili Brescia, 25123 Brescia, Italy

6. Nephrology, Dialysis, Hypertension Unit, IRCCS Azienda Ospedaliero-Universitaria of Bologna, 40138 Bologna, Italy

7. Nephrology and Dialysis Unit, Policlinico Università A. Moro, 70124 Bari, Italy

8. Department of Nephrology and Dialysis, Ospedale Santa Croce, Azienda Sanitaria Territoriale n 1, Pesaro-Urbino, 61121 Fano, Italy

9. GOM “Bianchi-Melacrino-Morelli”, 89128 Reggio Calabria, Italy

10. Telemedicine Referente ASLCN2—Nephrology and Dialysis Unit ASLCN2, Ospedale “Michele e Pietro Ferrero”, Via Tanaro, 7-9, Verduno, 12060 Cuneo, Italy

Abstract

The management of end-stage kidney disease (ESKD) has been constantly evolving over the last decade with the development of targeted approaches. In this field, telemedicine and remote monitoring are based on the availability of new cyclers that allow for bidirectional communication (between patient and physician) and for the application of the Sharesource cloud-based platform. These technologies allow patients with ESKD to undergo automated peritoneal dialysis (APD) at home. However, these approaches are not well standardized and largely applied yet. Therefore, this study aimed to elaborate a protocol for the utilization of the Sharesource platform to facilitate the practical management of patients treated with APD. A series of expert meetings were held between September 2022 and January 2023 in Italy. The participants (ten nephrologists and five nurses) from nine Italian public dialysis centers shared their opinions, examined the current scientific literature in the field, and reviewed the key characteristics of the Sharesource system to achieve a common position on this topic. A detailed and practical document containing experts’ opinions and suggestions on the use of the Sharesource platform for the management of patients treated with APD was produced. This expert opinion might represent a new useful instrument in clinical practice for managing patients undergoing home-based peritoneal dialysis (PD) through the Sharesource platform, which is valid not only for Italy. These recommendations pave the way to novel patient-centered and personalized therapeutic approaches for ESKD and highlight the advantages of telemedicine and remote monitoring in the management of patients with ESKD undergoing PD and its positive impact on their quality of life.

Funder

ERAms S.r.l.

Publisher

MDPI AG

Link

https://www.mdpi.com/2075-4426/14/8/807/pdf

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