A simple novel device can provide independence for peritoneal dialysis patients

Tanasiychuk, Tatiana; Kushnir, Daniel; Vardi, Yafa; Cohen-Hagai, Keren; Zitman‐Gal, Tali; Frajewicki, Victor; Benchetrit, Sydney; Einbinder, Yael

doi:10.1177/0896860820958956

Cited by 3 publications

(5 citation statements)

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“…Our experience also suggests that successful implementation of device-assisted CAPD requires careful evaluation of patients during pre-dialysis assessment and proper training by allied healthcare professionals such as renal nurses and occupational therapists. Other connection devices to assist PD have recently been developed by other groups and are received with positive feedback from patients 19,20 ; long-term outcomes with their use have not been reported. Compared to them, our device has the additional advantages of being fully functional without the need of power supply, as well as being fully reusable without the need for disposable or battery.…”

Section: Discussionmentioning

confidence: 99%

Device-assisted continuous ambulatory peritoneal dialysis: A single-centre experience

Pak

Chan

et al. 2022

Perit Dial Int

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Background: Peritoneal dialysis (PD) patients with impaired hand–eye function require helper assistance. Our centre developed a connection device that assists patients with impaired hand–eye function to perform PD exchange themselves, but the clinical outcomes in these patients have not been investigated. Methods: We retrospectively reviewed patients who had device-assisted continuous ambulatory peritoneal dialysis (CAPD) during 2007–2016 and compared their clinical outcomes with age- and sex-matched patients receiving helper-assisted CAPD. Results: One hundred seventy-two patients (86 each in the device- and helper-assisted CAPD groups) were followed for 29.9 (19.4–43.3) months. The device- and helper-assisted groups had comparable peritonitis rates (0.489 and 0.504 episode per patient-year, respectively, p = 0.814), with no difference in the distribution of causative organisms and the organism-specific peritonitis rates. The device-assisted group showed similar peritonitis-free survival compared with the helper-assisted group (2.58 (1.85–3.31) vs. 1.78 (0.68–2.88) years, p = 0.363) and time-to-PD discontinuation (6.27 (3.65–8.90) vs. 4.35 (3.48–5.22) years, p = 0.677). The median patient survival was similar between the two groups (3.89 (2.22–5.55) vs. 3.81 (3.27–4.36) years in the device- and helper-assisted groups, respectively, p = 0.505). Conclusion: Device-assisted CAPD confers comparable outcomes as helper-assisted CAPD and is a viable option in PD patients with impaired hand–eye function.

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Section: Discussionmentioning

confidence: 99%

Device-assisted continuous ambulatory peritoneal dialysis: A single-centre experience

Pak

Chan

et al. 2022

Perit Dial Int

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“…( O ) LiberDi portable PD system (PPDS™) (Tanasiychuk et al . [ 24 ]; https://www.liberdi.com/liberdi-receives-fda-regulatory-clearance/ ).…”

Section: Categories Of Assisted Pdmentioning

confidence: 99%

“…One of these, LiberDi portable PD system (PPDS™), also transfers information about the effluent directly to the dialysis center, thus helping to detect possible peritonitis or catheter dysfunction (Fig. 2 O) [ 24 ].…”

Section: Categories Of Assisted Pdmentioning

confidence: 99%

Assisted peritoneal dialysis in Europe: a strategy to increase and maintain home dialysis

Reyskens,

Abrahams,

François

et al. 2024

Clinical Kidney Journal

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Peritoneal dialysis (PD) is a form of kidney replacement therapy with the major advantage that it can be performed at home. This has a positive impact on patients’ autonomy and quality of life. However, the dialysis population is ageing and physical and/or cognitive impairments are common. These limitations often form a barrier to PD and contribute to the low incidence and prevalence of PD in Europe. Assisted PD can be a solution to this problem. Assisted PD refers to a patient being assisted by a person or device in performing all or part of their dialysis-related tasks, thereby making PD more accessible to elderly but also younger frail patients. In this way, offering an assisted PD program can help lower the threshold for initiating PD. In this review, we provide an overview of the epidemiology of assisted PD in Europe, we discuss the different categories and clinical outcomes of assisted PD, and we present how assisted PD can be implemented in clinical practice as a possible strategy to increase and maintain home dialysis in Europe.

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“…A small-scale study showed that no patient developed peritonitis, but a more extensive analysis will be required to demonstrate its safety and advantages. 37…”

Section: Liberdi Portable Pd System (Ppds)mentioning

confidence: 99%

“…Data, including changes in dialysate flow and ultrafiltration, can be sent to the local PD center, which helps detect any potential catheter malfunction remotely. A small‐scale study showed that no patient developed peritonitis, but a more extensive analysis will be required to demonstrate its safety and advantages 37 …”

Section: Liberdi Portable Pd System (Ppds)mentioning

confidence: 99%

Connection assist devices for peritoneal dialysis

Chan

Tang

2022

Seminars in Dialysis

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Patients with kidney failure who require kidney replacement therapy (KRT) have been increasing globally. Home‐based therapies, such as peritoneal dialysis (PD), allow patients to undergo KRT in the home environment, alleviating treatment costs, patient transport, and hospital admission. Peritoneal dialysis‐related peritonitis is still the most frequent complication of PD and is often related to technique failure, which can result in PD failure, transfer to hemodialysis, or mortality. The cause of technique failure is multifactorial, and a portion of technique failure is due to underlying physical or cognitive disabilities. There are several connection devices that have been developed to reduce CAPD‐related peritonitis. These connection devices are reviewed in this article.

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A simple novel device can provide independence for peritoneal dialysis patients

Cited by 3 publications

References 1 publication

Device-assisted continuous ambulatory peritoneal dialysis: A single-centre experience

Device-assisted continuous ambulatory peritoneal dialysis: A single-centre experience

Assisted peritoneal dialysis in Europe: a strategy to increase and maintain home dialysis

Connection assist devices for peritoneal dialysis

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