How can I work with Lytics in helping end stage renal disease (ESRD) patients?
CKD is a condition characterized by a gradual loss of kidney function over time whereas ESRD is when the kidneys stop working well enough for you to live without dialysis or a transplant. This kind of kidney failure is permanent. It cannot be fixed. Most cases of ESRD are caused by diabetes or high blood pressure. Dialysis is the artificial process of eliminating waste (diffusion) and unwanted water (ultrafiltration) from the blood.
Many ESRD patients may have one or more comorbidities. If they have chronic kidney disease and comorbidity, it can be challenging to understand and follow the recommendations of the healthcare team. Cardiovascular diseases and diabetes are just two of several common comorbidities, which put a strain on healthcare as every decision from treatment to therapeutics, add levels of uncertainty. Most dialysis patients are on anemia management. They take EPO or Aranesp to help maintain a hemoglobin balance in their blood and this is a classic optimization problem.
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers who come together voluntarily to give coordinated high quality care to their Medicare patients. Such organizations have incentives to raise the quality of care for their patients in a shared savings model. ESRD Seamless Care Organization is a model based on the Accountable Care Organization model where there is a need for intelligent solutions to increase quality of care.
LYTICS provides a range of AI solutions catered to ESRD patients. LYTICS EIR is an optimization technology conveyed in the form of a clinical decision support system designed to look at each patient and the unique medical profile. This is helpful when finding the right EPO or Aranesp dosage bearing in mind all of the fluctuating patient’s vitals. LYTICS EIR is also great for managing patients with comorbidities.
LYTICS LIN is a very useful technology to inject into the ESCO setting as it makes predictions about hospital admissions and readmissions alerting preventive care. LYTICS VÖR is the cherry on top with the ability to continuously detect and find foreseen and unforeseen patterns in patient data. Well orhestrated the above solutions relieves the organization to spend time with prospective and preventive care to boost patients’ health.
What can ESRD care look like in 2025?
In 2025 many of the consumer quantified self-movement sensors available today as mobiles or wearables have shifted to medical grade wearables and implantables. Activity levels will be tracked by next generation of accelerometers being way more precise and accurate than today. Such technology is very important for ESRD patients, which tend to have cardiovascular diseases and suffer from being overweight. Knowing how another half a mile of walking can have a direct impact on the wellbeing tomorrow is more helpful to patients than general exercise recommendations working for a population.
Already now we see progress in diet management solutions with extensive libraries of food to be incorporated into apps etc. In 2025 such solutions will be much more widespread and patients can simply scan a code in a restaurant or take a photo of their plate get the full nutritional properties of their meal. Naturally the analytics will particularly track iron intake and make daily recommendations of dishes to ascertain that side of anemia management is managed.
Artificial intelligence solutions such as LYTICS SIF, LYTICS VÖR and LYTICS EIR will continue to monitor ESRD patients 24/7/365 and provide recommendations several times per day. They will also relay specific knowledge when needed by pushing relevant articles and connecting patients with similar medical profiles for peer support.
The home testing market will explode until 2025 with small pods or health kiosks available for online testing, much like a photo booth or a telephone kiosk. Such solutions will be available in miniature versions at home for patients with ESRD and include specific sensors. One such example is a technology for capture of breath, VOC analysis, which will give hundreds of indications of the patient’s health and particularly infections. Each individual sensor or series of tests performed will not be the solution but the importance of all the collected data working together to provide the big picture.
The medical data from electronic medical journal and dialysis devices combined with home care wearables and implantables will be uploaded to a data storage platform where artificial intelligence analytics can mine it and send the full report to the relevant healthcare provider. Depending on the urgency of the situation the patient will connect with the physician or nurse via chat or videoconference. Either the patient picks up the drugs on the way home or a delivery drone drops it in the secure drone box at the home or current location.