Conceived and developed since 2001 at the Alba Center, Videodialysis (VD) was used initially to prevent dropout in prevalent PD patients by guiding them in performing dialysis (VD-Caregiver).
Subsequently, its use was extended to the clinical follow-up of critical patients (VD-Clinical), problems relating to transport to the Center (VD-Transport), and since 2016 for training/retraining all patients (VD-Training).
Since 2017 other Centers have employed VD using modalities analyzed in this paper.
Methods: the paper reports the findings of an Audit (February 2021) of the Centers using VD on 31-12-2020.
The Centers provided the following information:
- the characteristics of the patients using VD;
- the main and secondary reasons for using VD, considering nursing home (VD-NH) patients separately;
- VD outcomes: duration, drop-out, peritonitis, patient/caregiver satisfaction (minimum: 1 – maximum: 10).
Results: VD, which began between 09-2017 and 12-2019, has been used in 6 Centers for 54 patients at 31-12-2020 (age:71.8±12.6 years – M:53.7% – CAPD:61.1% – Assisted PD:70.3%).
The most frequent reason has been VD-Training (70.4%), followed by VD-Caregiver (16.7%), VD-NH (7.4%), VD-Clinical (3.7%), and VD-Transport (1.9%), with differences between Centers.
VD-Training is used most with self-care patients (93.8% – p<0.05), while with patients on Assisted PD it is associated with secondary reasons (95.7% – p<0.02). VD-Training (duration: 1-4 weeks) has always been completed successfully.
No peritonitis was reported; satisfaction was 8.4±1.4.
Conclusion: videodialysis is a flexible, effective, safe, and valued tool that can be employed using various modalities depending on the choice of the Center and the complexity of the patient.
Keywords: Peritoneal Dialysis, Assisted Peritoneal Dialysis, Telemedicine, Videodialysis, Training