Impact of telemedicine on metabolic control and hospitalization of peritoneal dialysis patients during the COVID-19 pandemic: a national multicentric cohort study

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Autor(es): dc.contributorSanta Casa de Misericórdia de Curitiba-
Autor(es): dc.contributorInstituto do Rim Carrascossi-
Autor(es): dc.contributorFundação Pró-rim-
Autor(es): dc.contributorUniversidade da Região de Joinville-
Autor(es): dc.contributorPontifícia Universidade Católica do Rio Grande do Sul-
Autor(es): dc.contributorFundação Pró-Renal-
Autor(es): dc.contributorInstituto do Rim de Curitiba-
Autor(es): dc.contributorRenal Care-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorInstituto de Doenças Renais-
Autor(es): dc.contributorPontifícia Universidade Católica do Paraná-
Autor(es): dc.creatorTabuti, Nicole Iasmin Magario-
Autor(es): dc.creatorPellizzari, Caio-
Autor(es): dc.creatorCarrascossi, Henrique-
Autor(es): dc.creatorCalice-Silva, Viviane-
Autor(es): dc.creatorFigueiredo, Ana-
Autor(es): dc.creatorMoreno Gordon, Gina-
Autor(es): dc.creatorBiangini, Gilson-
Autor(es): dc.creatorRodrigues, Mario Ernesto-
Autor(es): dc.creatorDias, Dayana Bitencourt-
Autor(es): dc.creatorda Silva, Dirceu Reis-
Autor(es): dc.creatorDe Moraes, Thyago Proença-
Data de aceite: dc.date.accessioned2025-08-21T23:11:48Z-
Data de disponibilização: dc.date.available2025-08-21T23:11:48Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-10-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/2175-8239-JBN-2021-0113-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/246616-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/246616-
Descrição: dc.descriptionIntroduction: The coronavirus-19 pandemic threatens the lives of all people, but results in higher mortality rates for patients with end-stage kidney disease (ESKD) including those on peritoneal dialysis (PD). Telemedicine was the main alternative to reduce exposure to the virus, but it was introduced in the Brazil without proper training. Objective: To investigate the impact of telemedicine on metabolic control, peritonitis rates, and hospitalization in PD patients during the pandemic. Methods: This was a retrospective multicenter cohort study. We included all adult patients on chronic PD from 9 clinics selected by convenience during the pandemic. The outcomes of interest were measured and compared between before and after switching to telemedicine using repeated measure analysis and multilevel Poisson regression. Results: The study included 747 patients with a mean age of 59.7±16.6 years, of whom 53.7% were male and 40.8% had diabetes. Biochemical parameters including hemoglobin, potassium, phosphate, calcium, and urea serum levels did not change significantly after transition to telemedicine. There was no association between telemedicine and peritonitis rates. In contrast, hospitalization rates increased significantly in the telemedicine period. The incidence rate ratio (IRR) for hospitalization in the telemedicine period was 1.54 (95%CI 1.10-2.17; p 0.012) and 1.57 (95%CI 1.12-2.21; p 0.009) in the mixed-effects Poisson regression before and after adjustment for the presence of confounders. Admissions for hypervolemia and infections not related to PD doubled after transition to telemedicine. Conclusion: The implementation of telemedicine without proper training may lead to an increase in adverse events in PD patients.-
Descrição: dc.descriptionSanta Casa de Misericórdia de Curitiba, PR-
Descrição: dc.descriptionInstituto do Rim Carrascossi, SP-
Descrição: dc.descriptionFundação Pró-rim, SC-
Descrição: dc.descriptionUniversidade da Região de Joinville, SC-
Descrição: dc.descriptionPontifícia Universidade Católica do Rio Grande do Sul, RS-
Descrição: dc.descriptionFundação Pró-Renal, PR-
Descrição: dc.descriptionInstituto do Rim de Curitiba, PR-
Descrição: dc.descriptionRenal Care, DF-
Descrição: dc.descriptionUniversidade Estadual de São Paulo, SP-
Descrição: dc.descriptionInstituto de Doenças Renais, RS-
Descrição: dc.descriptionPontifícia Universidade Católica do Paraná, PR-
Descrição: dc.descriptionUniversidade Estadual de São Paulo, SP-
Formato: dc.format473-481-
Idioma: dc.languageen-
Relação: dc.relationJornal Brasileiro de Nefrologia-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectChronic-
Palavras-chave: dc.subjectBiomarkers-
Palavras-chave: dc.subjectPeritonitis-
Palavras-chave: dc.subjectMortality-
Palavras-chave: dc.subjectKidney Failure-
Título: dc.titleImpact of telemedicine on metabolic control and hospitalization of peritoneal dialysis patients during the COVID-19 pandemic: a national multicentric cohort study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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