End Stage Renal Disease Clinical Trial
Official title:
Adherence to Blood Pressure Measurement Guidelines for Patients With End-stage Renal Disease on Renal Replacement Therapy (hæmodialysis or Peritoneal Dialysis)
The objective of the current study is to evaluate the compliance to blood pressure
measurements' recommendations in dialysis centers.
The idea is to address a questionnaire to physicians, head nurses and patients in order to
probe the way to measure blood pressure. The objective is to face the theoretical guideline
with what is effectively done.
In dialysis center, blood pressure is measured as well as a vital sign than as a predictor of
cardiovascular event. Accurate measurement of blood pressure is critical for making
appropriate clinical decisions. Guidelines have been issued on standard blood pressure
measurement procedure for the detection of hypertension and the follow-up of patients with
hypertension. In hospital adherence to guidelines is low (Manzoli, Simonetti et al. 2012).
Whether these guidelines are followed in dialysis patients is not known. Thus it would be of
great interest to investigate the BP measurement procedures that are effectively applied in
dialysis centers.
This project is an international survey across 10 dialysis centers. The current study is
conducted on 10 physicians, 10 head nurses and 100 to 200 patients in Switzerland, in Europe
and in the Mediterranean basin.
The adherence to BP measurement guidelines will be assessed thanks to two questionnaires of
20 items; one addressed to the patients and the other to the medical staff (clinicians and
head nurses).
The project is scheduled to last a total of 4 months. Two months are dedicated to the
presentation of the project, the recruitment as well as to the participation of the
volunteers, and two months to the analysis.
The research project is carried out in accordance to the research plan and with principles
enunciated in the current version of the Declaration of Helsinki (DoH), the Essentials of
Good Epidemiological Practice issued by Public Health Schweiz (EGEP), the Swiss Law and Swiss
regulatory authority's requirements as applicable.
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