Elderly Patients With Renal Insufficiency: Reasons for Using the Geriatrician, Modalities and Results of the Geriatric Evaluation, Becoming at One Year

Comorbidities and Coexisting Conditions Clinical Trial

— NephroG  

Official title:

Elderly Patients With Renal Insufficiency: Reasons for Using the Geriatrician, Modalities and Results of the Geriatric Evaluation, Becoming at One Year

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04337957
• Other study ID #: Local/2019/VA-1
• Status: Completed
• Start date: June 1, 2019
• Est. completion date: March 31, 2020

Study information

• Verified date: July 2020
• Source: Centre Hospitalier Universitaire de Nimes
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The incidence and prevalence of kidney failure increases with age. Elderly people with chronic kidney disease may have factors of fragility (loss of independence, comorbidities, geriatric syndromes) that can complicate the choice and implementation of the nephrological therapeutic project. Joint and early assessment of these patients by a nephrologist and a geriatrician could help to optimize the definition of care objectives and patient pathway.

There is little data on how nephrologists and geriatricians cooperate and on the description of frailties in elderly patients with renal impairment.

In this context, the objective of this study is to describe in a French university hospital the reasons for the use of geriatricians by nephrologists, the modalities of geriatric evaluation and the socio-demographic and medical characteristics (including geriatric syndromes) of very elderly patients with renal insufficiency, and then to become so at one year.

Year of implementation of this research: 2019 based on data from 2017 and 2019. Approximate number of people likely to be included in the research: 100 patients

Description:

There is little data on how nephrologists and geriatricians cooperate and on the description of frailties in elderly patients with renal impairment.

In this context, the objective of this study is to describe in a French university hospital the reasons for the use of geriatricians by nephrologists, the modalities of geriatric evaluation and the socio-demographic and medical characteristics (including geriatric syndromes) of very elderly patients with renal insufficiency, and then to become so at one year.

Secondary objectives :

• describe the modalities of the geriatric evaluation

• describe the socio-demographic, medical characteristics (including fragilities and/or geriatric syndromes) of elderly patients with renal insufficiency

• describe how to become one year old.

Origin and nature of the data collected:

• Socio-demographic, medical and geriatric data (see attached document) based on geriatric assessment medical records (reports of external geriatric consultation and/or intervention by the mobile geriatric team).

The approximate duration of the study will be 9 months. This time includes the time required for statistical analysis and writing an article.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: March 31, 2020
• Est. primary completion date: March 31, 2020
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• 75-year-old patient and older

• Renal insufficiency

• Use in 2017 and 2018 of a geriatric evaluation at the Nîmes University Hospital at the request of nephrologists (mobile geriatric team or external geriatric consultation).

Exclusion Criteria:

• Patient under guardianship, curatorship or judicial protection

• Patient under 75-year-old

Related Conditions & MeSH terms

• Comorbidities and Coexisting Conditions
• Motility Disorder
• Renal Insufficiency
• Secondary Evaluation Criteria

Intervention

Other:
• geriatric nephrology
Collection of the geriatrician's opinion

Locations

Country	Name	City	State
France	CHU de Nîmes	Nîmes

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire de Nimes

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	reason for the nephrologist's recourse for a geriatric assessment with a geriatric team	geriatric syndromes recorded from medical records	up to one year
Secondary	geriatric advice for therapeutic project including dialysis option	rate of geriatric advice for therapeutic project including dialysis option listed from medical records	up to one year
Secondary	falls recorded from geriatric assessment medical records	number of falls recorded from geriatric assessment medical records	up to one year
Secondary	death,assessment from medical records	number of death recorded from medical records	at one year
Secondary	dialyses and death recorded from medical records	rate of dialyses and death recorded from medical records	at one year