MedPath

Competing Risk of Death and ESRD in Incident CKD Patients

Completed
Conditions
Chronic Kidney Diseases
Registration Number
NCT03379571
Lead Sponsor
Central Hospital, Nancy, France
Brief Summary

Although chronic kidney disease (CKD) affects a growing number of people, epidemiologic data on incident CKD in the general population are scarce. Screening strategies to increase early CKD detection have been developed.

Methods: From a community-based sample of 4,409 individuals residing in a well-defined geographical area, investigators determined the number of patients having a first serum creatinine value ≥1.7 mg/dL and present for at least 3 months that allowed us to calculate an annual incidence rate of CKD (stages 3 to 5). CKD (stages 3 to 5) was defined by estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73 m2. Investigators also described the primary care, outcomes and risk factors associated with outcomes using competing risks analyses for these CKD patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
631
Inclusion Criteria
  • >= 18 years
  • first serum creatinine value ≥1.7 mg/dL reached after January 1st, 2004
  • and present for at least 3 months
  • residing in the given geographical area (the Urban Community of Greater Nancy (UCGN))
Exclusion Criteria
  • <18 years
  • prevalent CKD patient : CKD diagnosis before January 1st, 2004
  • patients on dialysis or renal transplanted
  • refusal of participation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
annual incidence rate of CKDinclusion

number of patients residing in a well-defined geographical area having a first serum creatinine value ≥1.7 mg/dL after January 1st, 2004 and still present for at least 3 months

Secondary Outcome Measures
NameTimeMethod
dialysis initiationthrough study completion, 6 year after study start

number of dialysis initiation.

deaththrough study completion, 6 year after study start

number of death

management of CKD patientsthrough study completion, 6 year after study start

%patients referred to a nephrologist, decline of the renal function

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