Homechoice Claria machine next to the patient's bedside

Evidence Supporting Automated Peritoneal Dialysis With Remote Patient Management

A substantial body of evidence endorses the benefits of automated peritoneal dialysis (APD) cyclers with two-way remote patient management technology (RPM).

Key benefits of APD with RPM

Our APD cyclers with two-way RPM technology enabled by Vantive CONNECT Clinician (Sharesource Connectivity Platform) are key components of HomeAdvantage, powered by Vantive CONNECT. Our cyclers are equipped with modems and linked to hospitals and clinics through secure data connections. RPM allows doctors and nurses to remotely and proactively manage dialysis patients, amending treatment programs as necessary, and thus potentially improving patient outcomes and reducing hospitalizations.

Infographics of Remote Patient Management results

RPM may increase time spent on proactive care

APD combined with RPM potentially improves adherence to treatment and provides the potential for early intervention if therapy complications are encountered. 

Proactive patient management allows nurses and clinicians to care for and treat their patients with an anticipatory, preventative approach, rather than in a reactive or urgent manner.

An evaluative study showed that when PD nurses implemented RPM, their time spent on proactive patient care activities increased from 2% without RPM to 34.2% with RPM, while the time spent on reactive activities decreased.2

A nurse surrounded by happy patients in a care home environment
Abstract

RPM systems automate the sending of dialysis data to renal units and allow nurses and clinicians to adjust dialysis cycler programs remotely. To identify whether RPM helps improve patient management and clinic efficiency, four PD nurses were monitored in terms of the proportion of time they spent on proactive, reactive and routine care. Proactive patient care activities increased from 2% of nurses' time without RPM to 34.2% with the implementation of RPM.3

Rationale

New APD cyclers with two-way RPM technology allow nurses to view dialysis details remotely in a timely manner, proactively manage clinical issues and make program changes as necessary. It is important to evaluate the impact of RPM on nurses’ behavior and practice when caring for home-based APD patients and to identify whether RPM helps improve patient management and clinic efficiency.3

Method

Four PD nurses from four UK hospitals were observed prior to implementing APD with RPM (July 2015 – July 2016; before the introduction of APD with RPM) and after implementing APD with RPM (September 2016 – March 2017; 6-13 months after APD with RPM was established).3

A tool was designed to log the time PD nurses spent on different types of tasks, specifically whether the task was:

  • Proactive: Anticipatory, preventative and change-oriented (e.g., clinician discussions, phone calls/visits to patients and reviewing daily dialysis records)

  • Reactive: Responsive (e.g., urgent patient consultations and assessments)

  • Routine: Regular planned activities (e.g., scheduled line changes and review consultations)3

Findings

The amount of time that nurses were able to spend on proactive patient care activities increased from 2% without RPM to 34.2% with RPM. The time spent on reactive patient care decreased from 43.5% to 27% following the implementation of RPM while time spent on routine care decreased by 10%.3

RPM may be an effective method of increasing the time nurses spend on proactive care by reducing time spent on routine and reactive care.3

Find out more about how Vantive proactively manages PD therapy
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APD with RPM at Vantive

Discover how Vantive utilizes Vantive CONNECT Clinician RPM technology in renal care. 

*Image doesn't depict real patient data

Find out more

Find out how implementing RPM has impacted the way Michelle supports and manages her patients.

Michelle Blaauw is a PD nurse who has been working in dialysis for 20 years. Here she shares her thoughts about modern PD and RPM. 

Important Safety Information

INTENDED USE

The Sharesource Connectivity Platform portal is intended for use by healthcare professionals to remotely communicate new or modified treatment parameters with compatible dialysis instruments and transfer completed treatment data to a central database to aid in the review, analysis, and evaluation of patients’ historical treatment results. This system is not intended to be a substitute for good clinical management practices, nor does its operation create decisions or treatment pathways.

Rx Only. For safe and proper use of the products mentioned herein, please refer to the appropriate Operator’s Manual or Instructions for Use. 

Vantive, Homechoice Claria and Sharesource are trademarks of Vantive Health LLC or its affiliates.

References

  1. Firanek C, Salas M, Gellens M, Gatesman RD, Wiebenson D, Sloand J. Discrepancy between prescribed and actual APD prescription delivery: Identification using cycler remote management technology. Nephrol Dial Transplant. 2017;32(suppl 3):iii633.

  2. Paniagua R, Ramos A, Avila M, et al. Remote monitoring of automated peritoneal dialysis
    reduces mortality, adverse events and hospitalizations: a cluster-randomized controlled trial. Nephrol Dial Transplant. 2025;40(3):588-597.

  3. Wood E, McCarthy K, Roper M. Remote monitoring of peritoneal dialysis: evaluating the impact of the Claria Sharesource system. J Kidney Care. 2019;4(1):16-24.

  4. Todd L, Gellens M, Mooney A, Mancini A. Peritoneal dialysis supplemental telephone
    support program to reduce 90-day drop out. J Am Soc Nephrol. 2021;32:327-328.
    Abstract PO0967.