Systemic Redesign and Demonstration for Early Detection, Evaluation and Management of Chronic Kidney Disease in Shanghai

• Conditions: Chronic Kidney Diseases

• Registration Number: NCT03084172
• Lead Sponsor: Shanghai Changzheng Hospital

Brief Summary

Based on clinical evidence based medicine and organizational management model, investigators redesign the prevention and treatment of chronic kidney disease of public health system in Shanghai China. The investigators hope to find early chronic kidney disease, prevention and clinical intervention of orderly combination. The advantages of this system were confirmed by comparing the prevalence rate, awareness rate and treatment rate before and after the completion of the system.

Detailed Description

The whole study mainly includes the following parts:

1. Establishment of a database of patients with kidney disease, and training data entry specialist in every center.

2. Conduct propaganda of kidney disease knowledge, training professional doctors in center hospital and community hospital.

3. Search for high-risk patients, and screening for patients with kidney disease from community residents in community hospital.

4. Establishment of a standardized and orderly patient referral process from community hospital to center hospital or three level of first-class hospital.

Study Timeline

• Study Start: 2015-10-01
• Status Verified: 2017-03
• Study First Submitted: 2017-03-14
• Study First Submitted QC: 2017-03-14
• Study First Posted: 2017-03-20
• Last Update Submitted: 2017-03-21
• Last Update Posted: 2017-03-24
• Primary Completion: 2017-12-31
• Study Completion: 2018-06-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 2000000

Inclusion Criteria

• Over 18 years of age.
• Signed informed consent

Exclusion Criteria

• Refused to accept the blood and urine test

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
awareness rate of chronic kidney disease	baseline and 12 months, an average of 3 years	Change in awareness rate of chronic kidney disease in shanghai from baseline to 3 years.
treatment rate of chronic kidney disease	baseline and 12 months, an average of 3 years	Change in using standardized and orderly patient referral process from community hospital to center hospital or three level of first-class hospital. in shanghai from baseline to 3 years.
prevalence rate of chronic kidney disease	baseline and 12 months, an average of 3 years	Change in prevalence rate of chronic kidney disease in shanghai from baseline to 3 years.
The degree of decreased glomerular filtration rate in chronic kidney patients	through study completion, an average of 3 years	The degree of decreased glomerular filtration rate in chronic kidney patients, compared with healthy people and reported level in the literatures

Trial Locations

Locations (34)

Changzheng Hospital; 🇨🇳 Shanghai, Shanghai, China

Huashan Hospital; 🇨🇳 Shanghai, Shanghai, China

Jiangning Road Community Health Service Center of Shanghai; 🇨🇳 Shanghai, Shanghai, China

Jing'an District Central Hospital of Shanghai; 🇨🇳 Shanghai, Shanghai, China

Jing'an Temple Community Health Service Center of Shanghai; 🇨🇳 Shanghai, Shanghai, China

Second Shimen Road Community Health Service Center of Shanghai; 🇨🇳 Shanghai, Shanghai, China

West Nanjing road Community Health Services Center of Shanghai; 🇨🇳 Shanghai, Shanghai, China

Caojiadu Community Health Service Center of Shanghai; 🇨🇳 Shanghai, Shanghai, China

Jing'an District Zhabei Central Hospital of Shanghai; 🇨🇳 Shanghai, Shanghai, China

Tianmuxi Road Community Health Service Center of Shanghai; 🇨🇳 Shanghai, Shanghai, China

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