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

Completed

• Conditions: Chronic Kidney Disease
• Interventions: Other: Post implementation

• Registration Number: NCT02878902
• Lead Sponsor: University Hospital, Caen

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".

Detailed Description

Not available

Study Timeline

• Study Start: 2013-01
• Primary Completion: 2015-12
• Study Completion: 2015-12
• Status Verified: 2016-07
• Study First Submitted: 2016-07-29
• Study First Submitted QC: 2016-08-24
• Last Update Submitted: 2016-08-24
• Study First Posted: 2016-08-25
• Last Update Posted: 2016-08-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

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

Exclusion Criteria

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Post implementation	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

Primary Outcome Measures

Name	Time	Method
Percentage of emergency dialysis patients beginner	Change of this percentage from baseline at 2 years	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