Chronic Kidney Diseases Clinical Trial
Official title:
The Chinese Cohort Study of Chronic Kidney Disease Patients Followed on Smartphone Platform, a Multi-center Observational Study
This is a multi-center prospective cohort study. The purpose of this study is to investigate the relationship between bone metabolic markers and other non-traditional risk factors with kidney function progression, cardiovascular and cerebrovascular diseases, and bone loss in patients with CKD G3-5ND. In the meantime, this study is to explore a new mode of management and complication monitoring through mobile communication in chronic kidney disease patients.
Abnormal mineral bone metabolism of chronic kidney disease (CKD-MBD) is the most common
complication of CKD. It involves kidney, bone metabolism, parathyroid gland, cardiovascular
and cerebrovascular organs. It is an independent risk factor for progression of CKD to
end-stage renal disease (ESRD), vascular and cardiac valve calcification, and cardiovascular
and cerebrovascular events. However, less data concerning the relationship between bone
metabolic index, such as high blood phosphorus and cardiovascular diseases, bone mass
reduction and fracture is available in Chinese adult patients. This study is a multi-center
prospective cohort study to explore the relationship between bone metabolic markers and other
non-traditional risk factors with renal function progression, cardiovascular and
cerebrovascular diseases, and bone loss in patients with CKD G3-5ND. Based on the sample size
estimation, 3360 subjects should be enrolled in this study. The primary outcome is
progression to ESRD (start dialysis or kidney transplantation) or doubling of serum
creatinine, as well as cardiovascular events and all-cause mortality.
At present, the follow-up and the management of complications of CKD patients are not enough.
The popularity of mobile communication in China provide the possibility to strengthen the
follow-up and complications management in CKD patients and save human resources. This study
is to explore a new mode of collecting datas through mobile communication in chronic kidney
disease patients.
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