Impact of the Implementation of CKD Coordination Function on Dialysis Initiation Frequency in Emergency

NCT02878902 | Completed

• 1 other identifier: 15-199
• Study Type: observational
• Target: 200
• Locations: 0 countries
• Sites: N/A

Brief Summary

Kidney failure is a major public health problem. REIN registry shows that 33% of patients treated in renal replacement therapy for ESRD start dialysis in emergency. Unscheduled care is associated with an increased risk of morbidity and mortality, with less access to off dialysis center and kidney transplant. In addition, the emergency management has an impact on the organization of health structures. The High Authority of Health in 2012 issued a "care pathway Guide" aimed "to report in this process of the multidisciplinary nature of the management and coordination of principles and procedures for the Chronic Renal failure and cooperation between professionals involved. " A function of coordinator of the Chronic Renal Disease was set up in service since May 2013. Investigators propose to carry out a study to value its impact on the start of the dialysis in emergency and hypothesize that this feature innovative in France improves the patient pathway and thus reduce support emergency frequency of ESRD. The objective of this study is to show the improvement of the quality of care for terminally chronic renal failure patients. This is to evaluate an experiment aimed to facilitate a complex care path. If this experiment is successful, it could form part of "advanced practice".

Conditions

Chronic Kidney Disease

Keywords

emergency; coordination; dialysis

Outcome Measures

Primary Outcomes (1)

• Percentage of emergency dialysis patients beginner

  The outcome is mesured at baseline (implementation of the nurse coordinator of chronic renal failure the nurse coordinator of chronic renal failure Baseline = implementation of this function of coordination of patients with chronic renal failure

  Change of this percentage from baseline at 2 years

Study Arms (2)

Before implementation

Patients registered in monitoring French registry of renal patients "Réseau Epidémiologie et Information en Néphrologie" (REIN) from January 1, 2012 to December 31, 2013

Post implementation

Patients registered in monitoring French registry of renal patients "Réseau Epidémiologie et Information en Néphrologie" (REIN) from January 1, 2014 to December 31, 2015

Other: Post implementation

Interventions

Post implementation OTHER

Patient group whose care course was organized by the nurse coordinator of chronic renal failure

Post implementation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient with chronic kidney disease in our center

You may qualify if:

• Patients over 18 years with terminal chronic renal failure enrolled in the course of care

You may not qualify if:

• Patients under 18 years
• Patient Off Course
• Patient beginning dialysis with a method of transition

Sponsors & Collaborators

• University Hospital, Caen: lead

MeSH Terms

Conditions

Renal Insufficiency, Chronic; Emergencies

Condition Hierarchy (Ancestors)

Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 2 Years
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 29, 2016
• First Posted: August 25, 2016
• Study Start: January 1, 2013
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: August 25, 2016

Record last verified: 2016-07

Data Sharing

• IPD Sharing: Will not share