Sensor-based Congestion ALert for Events in Peritoneal Dialysis (SCALE-PD)

This study is testing whether a sensor-based smart scale that monitors fluid retention can help detect dangerous fluid buildup early in patients receiving peritoneal dialysis (a type of home kidney dialysis). Fluid overload is a common and serious complication in dialysis patients, and early alerts may prevent hospitalizations. **You may be eligible if...** - You are 21 years of age or older - You are on automated peritoneal dialysis for end-stage kidney disease (ESKD) - You can stand on two feet unassisted - You are managed on the Vantive Sharesource remote monitoring platform - You can speak and read English, or have a caregiver who can assist **You may NOT be eligible if...** - You are under 21 years of age - You are on hemodialysis (a different type of dialysis) rather than peritoneal dialysis - You cannot stand unsupported on a scale - You are not enrolled in the required remote monitoring system - You are pregnant Talk to your doctor to see if this trial is right for you.