Systemic Redesign and Demonstration for Early Detection, Evaluation and Management of Chronic Kidney Disease in Shanghai
试验速览
- 阶段
- 不适用
- 入组人数
- 2,000,000
- 试验地点
- 34
- 主要终点
- awareness rate of chronic kidney disease
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Over 18 years of age.
- •Signed informed consent
排除标准
- •Refused to accept the blood and urine test
结局指标
主要结局
awareness rate of chronic kidney disease
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
次要结局
未报告次要终点
研究者
Changlin Mei
Professor, Director of kidney Institute of the people's Liberation Army
Shanghai Changzheng Hospital