Remote Patient Management: The Future Is G.R.E.E.N.

Peritoneal dialysis is the ideal field where remote patient management (RPM) techniques can be experimented and implemented for a better care. Real-time feedback on patients and machine signals allow for rapid and effective correction of prescription and troubleshooting. Recent results have spurred new interest in this area, where new technology and new options appear to open interesting scenarios for the future. The acronym G.R.E.E.N. describes the initials of the disciplines that are likely to characterize the future of this area of care and research. G for genetics: patient genotyping will allow in the future to expand the application of precision medicine solutions in response to remote monitoring signals. R for robotics: the mechanical actuation of operations normally carried out by a care giver will permit to take maximum advantage of bidirectional interactions between remote signals and remote feedback on dialysis equipment. E for E-health and Information communication technology. Remote monitoring will provide the basis for specific algorithms that can be further implemented and improved by artificial intelligence networks. This will provide support in the decision-making process and will even provide the basis for automated feedback operations. E for eco-compatibility: home therapies with remote monitoring will contribute to save fuel consumption and will provide environment-friendly solutions. N for nanosciences: this interesting area of research will offer a new spectrum of biomaterials and will enable possible uses of nanofluids. The application of advanced RPM with a G.R.E.E.N. approach is likely to provide significant benefits for the future with cost reduction, early detection and resolution of problems, improved treatment compliance, reduction of patient's access to hospital center for technical and clinical complications, increased confidence of patients treated at home with higher incidence and prevalence of home therapies, and consequent improvement in patient's quality of life.