CHILDNEPH is a pan-Canadian project to observe clinical care for children with nephrotic syndrome. Previous studies have indicated that there is wide practice variation in how health care providers treat this remitting and relapsing disease of childhood. The disease mechanism is not yet understood, and long-term use of steroids can affect children's health. This study involves assessment of routine clinical care and establishing a long-term patient registry for children with nephrotic syndrome.
CHILDNEPH is an ongoing prospective longitudinal study of children with incident and prevalent nephrotic syndrome. Children are recruited from 12 centres across Canada and followed for at least 30 months. The project starting in August of 2013 with the goal of following 400 patients. Data is collected at enrollment, beginning and end of each relapse, semi-annual visits and end of study. Detailed prescription data is collected regarding glucocorticoids and all second line agents. All relapses are recorded with time to urinary remission of proteinuria. The investigators are moving towards registry based trials to determine optimal treatment protocols for nephrotic syndrome with an overall goal to minimize glucocorticoid exposure, a patient priority.
Study Type
OBSERVATIONAL
Enrollment
400
Alberta Children's Hospital
Calgary, Alberta, Canada
RECRUITINGStollery Children's Hospital, University of Alberta
Edmonton, Alberta, Canada
Association of steroid dose prescribed with relapse rates
Total steroid dose prescribed per unit time is determined by the total dose patients are prescribed during observation divided by total number of days on treatment. Dose will always be in mg/m2 prednisone equivalents. The relapse rate is the number of relapses/per person unit time.
Time frame: 30 months up to 90 months
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British Columbia Children's Hospital
Vancouver, British Columbia, Canada
RECRUITINGWinnipeg Children's Hospital, University of Manitoba
Winnipeg, Manitoba, Canada
RECRUITINGIWK Health Centre
Halifax, Nova Scotia, Canada
RECRUITINGMcMaster Children's Hospital
Hamilton, Ontario, Canada
RECRUITINGChildren's Hospital, London Health Sciences Centre
London, Ontario, Canada
RECRUITINGChildren's Hospital of Eastern Ontario (CHEO) University of Ottawa
Ottawa, Ontario, Canada
RECRUITINGThe Hospital for Sick Children (SickKids)
Toronto, Ontario, Canada
RECRUITINGCHU Ste. Justine
Montreal, Quebec, Canada
RECRUITING...and 2 more locations