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

Chronic Kidney Disease Clinical Trial

— ICoDU  

Official title:

Impact of the Implementation of a Chronic Kidney Disease (CKD) Coordination Function on Dialysis Initiation Frequency in Emergency

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02878902
• Other study ID #: 15-199
• Status: Completed
• Phase: N/A
• First received: July 29, 2016
• Last updated: August 24, 2016
• Start date: January 2013
• Est. completion date: December 2015

Study information

• Verified date: July 2016
• Source: University Hospital, Caen
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: Agence Nationale de Sécurité du Médicament et des produits de santé
• Study type: Observational [Patient Registry]

Clinical Trial 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".

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: December 2015
• Est. primary completion date: December 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Observational Model: Cohort, Time Perspective: Cross-Sectional

Related Conditions & MeSH terms

• Chronic Kidney Disease
• Emergencies
• Kidney Diseases
• Renal Insufficiency, Chronic

Intervention

Other:
• Post implementation
Patient group whose care course was organized by the nurse coordinator of chronic renal failure

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Caen

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percentage of emergency dialysis patients beginner	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	Change of this percentage from baseline at 2 years	No