Introduction:
Patient-reported experience measurement (PREM) in peritoneal dialysis patients is essential to ensure patient-centered care and improve treatment quality. PREMs provide valuable insights into the patient perspective, helping clinical teams tailor their approaches to meet individual needs. Positive patient experiences are closely linked to improved adherence and clinical outcomes, making PREMs a critical tool for improving overall care.
Methods:
This observational multicenter cohort study was conducted between April and July 2024. Renal PREMs were evaluated in patients in an automated peritoneal dialysis program with remote monitoring using the Sharesource Analytics 1.0 platform. The Kidney PREM survey, a comprehensive tool consisting of 38 items grouped into 13 themes, was used to assess patient experience. These items and themes cover a wide range of aspects related to peritoneal dialysis, providing a detailed understanding of the patient's journey. All items were rated on a 7-point Likert scale ranging from 1 (never) to 7 (always).
Results:
A total of 259 patients were evaluated; the mean age was 56.9 years, the majority were men (55.2%), 33.2% were diabetic, and 43.2% had residual kidney function, see Table 1. Patients rated their overall experience with the service provided by their renal unit as 6.9 (SD 0.3), which is the best experience they could have. However, the study identified several areas for improvement, such as accessibility, comfort, cleanliness, parking, transportation, and some aspects of laboratory testing. For instance, patients expressed a need for better transportation services to and from the dialysis center, and a desire for more comfortable and cleaner facilities. See details in Table 2.
Conclusions:
Patients in the automated peritoneal dialysis program using Sharesource Analytics 1.0 reported high overall satisfaction. Key strengths included access to the nephrology team and communication. These findings underscore the crucial role of using PREMs to improve patient-centered care and guide future improvements in dialysis services based on patient feedback.
I have potential conflict of interest to disclose.
Dr Cely is full- time employee of Renal Care Services National University. Dr Doria is full-time employee of Renal Care Services Bucaramanga. Dr Dazzarola is full-time employee of Renal Care Services STR of Valle. Dr Rojas is full-time employee of Renal Care Services Duitama. Dr Pulido is full-time employee of Renal Care Services Agencia San Rafael. Dr Castillo is full-time employee of Renal Care Services Agencia Soacha. Dr Sanabria is full-time employee of Renal Care Services Latin-America RN Vesga, Ms Aldana, RN Alba are full-time employees of Renal Care Services Colombia. Dr Rivera is full-time employee of Baxter Healthcare Corporation, Deerfield, Illinois, USA. Dr Rutherford is full-time employee of Baxter Healthcare Corporation, Zurich, Switzerland.
I did not use generative AI and AI-assisted technologies in the writing process.