Systemic Redesign and Demonstration for Early Detection, Evaluation and Management of Chronic Kidney Disease in Shanghai
Overview
- Phase
- Not Applicable
- Sponsor
- Shanghai Changzheng Hospital
- Enrollment
- 2,000,000
- Locations
- 34
- Primary Endpoint
- awareness rate of chronic kidney disease
Overview
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:
- Establishment of a database of patients with kidney disease, and training data entry specialist in every center.
- Conduct propaganda of kidney disease knowledge, training professional doctors in center hospital and community hospital.
- Search for high-risk patients, and screening for patients with kidney disease from community residents in community hospital.
- Establishment of a standardized and orderly patient referral process from community hospital to center hospital or three level of first-class hospital.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Over 18 years of age.
- •Signed informed consent
Exclusion Criteria
- •Refused to accept the blood and urine test
Outcomes
Primary Outcomes
awareness rate of chronic kidney disease
Time Frame: 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
Time Frame: 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
Time Frame: 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
Time Frame: 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
Secondary Outcomes
No secondary outcomes reported
Investigators
Changlin Mei
Professor, Director of kidney Institute of the people's Liberation Army
Shanghai Changzheng Hospital