SP515
TRENDS IN OUTCOMES FOR AN AUTOMATED PERITONEAL DIALYSIS PROGRAM WITH AND WITHOUT REMOTE MANAGEMENT IN COLOMBIA Free

INTRODUCTION AND AIMS: Remote Home Management in patients within an Automated Peritoneal Dialysis (APD) program is a technology that could positively impact the results of this therapy.

METHODS: This is a study of three historical cohorts of patients in APD within the first 90 days of therapy; the 2017 patient cohort is on APD with remote home management (Claria Sharesource) and we made comparisons with historical APD Controls (Cohorts 2014 and 2015) without remote management. All the patients were enrolled in the network of renal clinics of Renal Therapy Services (RTS) in Colombia.

RESULTS: A total of 949 patients were included in the three years ’cohorts: 2017 (59), 2014 (485) and 2015 (405) ; The APD drop out to HD was 9,7; 11,1 and 10,7 therapy switches per 100 patients- year at risk respectively. The incidence rate ratio between the 2017 to 2014 cohorts was 0,87 (CI 95% 0,22 - 2,4) and for the 2017 to 2015 cohorts was 0,90 -(CI 95% 0,22 - 2,5). Hospitalization rates for the above cohorts were 0,55; 0,70 and 0,60 admissions per patient-year at risk respectively for each cohort. The incidence rate ratio for hospitalization between the 2017 to 2014 cohorts was 0,79(CI 95% 0,49 - 1,2) and this ratio between 2017 to 2015 cohorts was 0,92 (CI 95% 0,56 - 1,4).

CONCLUSIONS: The patient Cohort exposed to the APD-embedded two-way remote patient management platform shows improvement in clinical outcome trends. This could be a valuable tool for enhancing the results of APD therapy.