Impact of remote biometric monitoring on cost and hospitalization outcomes in peritoneal dialysis

Journal of Telemedicine and Telecare
Susie Q LewManya Magnus

Abstract

Peritoneal dialysis is a home-based therapy for individuals with end-stage renal disease. Telehealth, and in particular - remote monitoring, is making inroads in managing this cohort. We examined whether daily remote biometric monitoring (RBM) of blood pressure and weight among peritoneal dialysis patients was associated with changes in hospitalization rate and hospital length of stay, as well as outpatient, inpatient and overall cost of care. Outpatient visit claim payment amounts (in US dollars derived from CMS data) decreased post-intervention relative to pre-intervention for those at age 18-54 years. For certain subgroups, non- or nearly-significant changes were found among female and Black participants. There was no change in inpatient costs post-intervention relative to pre-intervention for females and while the overall visit claim payment amounts increased in the outpatient setting slightly (US$511.41 (1990.30) vs. US$652.61 (2319.02), p = 0.0783) and decreased in the inpatient setting (US$10,835.30 (6488.66) vs. US$10,678.88 (15,308.17), p = 0.4588), these differences were not statistically significant. Overall cost was lower if RBM was used for assessment of blood pressure and/or weight (US$-734.51, p < 0.05). Use of R...Continue Reading

References

Sep 6, 2007·Journal of Telemedicine and Telecare·Paloma GallarCarolina Lentisco
Mar 3, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Aditi NayakK S Nayak
Jun 2, 2012·Contributions to Nephrology·Mitchell H Rosner, Claudio Ronco
Jun 2, 2012·Contributions to Nephrology·Akash NayakK S Nayak
Jul 8, 2016·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·K S NayakMitchell H Rosner
Mar 2, 2017·Applied Clinical Informatics·Manya MagnusSusie Q Lew
Mar 8, 2017·Health Affairs·J Scott AshwoodLori Uscher-Pines
Sep 22, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Susie Q LewManya Magnus

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Citations

Dec 5, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Susie Q Lew
May 16, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Martin Wilkie
Apr 18, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Emma J CartwrightKonstadina Griva
Oct 20, 2020·Journal of Medical Internet Research·Centaine L SnoswellLiam J Caffery
Jan 22, 2021·Emergency Medicine Journal : EMJ·Ahmad A AalamNeal Sikka

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Methods Mentioned

BETA
chip

Software Mentioned

Stata
SE
DigiGone®
REDCap ( Research Electronic Data Capture )

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