The number of incident and prevalent patients with end stage renal disease on dialysis treatment is increasing in France and worldwide. A quarter of dialysis patients are initiating dialysis urgently through central venous catheters and the number of patients registered in the waiting list for renal transplantation before dialysis initiation is very low. This is also reflected in the very low number of pre-emptive renal transplantations. In order to reduce the number of dialysis patients, the French state has induced a national program proposing a multidisciplinary care pathway including the nephrology visits and at least one consultation with a dietitian and a specialist renal nurse in all patients with Chronic Kidney Disease stage 4 and 5. The aim of this single-center retrospective study is to evaluate the influence of the complete, partial or no participation in this program on the evolution of renal function and clinicobiological parameters in this group of patients.
Study Type
OBSERVATIONAL
Enrollment
300
Exit of the study due to death, dialysis, or transplantation
Aura Sante
Chamalières, Auvergne, France
RECRUITINGGlomerular filtration rate
The estimated Glomerular filtration rate is estimated with the CKD-EPI formula adjusted for 1.73m2 of body surface area and produced in ml/min/1.73m2 of body surface area
Time frame: Every 6 months for 24 months
Patients survival rate
Number of deaths during the sudy period
Time frame: Every 6 months for 24 months
Renal survival rate
Number of patients initiating dialysis during the study period
Time frame: Every 6 months for 24 months
Haemoglobin levels
Evolution of haemoglobin levels during the study period in gram/dL
Time frame: Every 6 months for 24 months
Plasma Calcium levels
Evolution of plasma calcium levels during the study period in mg/dL
Time frame: Every 6 months for 24 months
Plasma Phosphate levels
Evolution of plasma phosphate levels during the study period in mg/dL
Time frame: Every 6 months for 24 months
Plasma parathyroid hormone levels
Evolution of plasma parathyroid hormone levels during the study period in pg/ml
Time frame: Every 6 months for 24 months
Plasma alcaline reserve levels
Evolution of plasma alcaline reserve levels during the study period in mmol/l
Time frame: Every 6 months for 24 months
24h salt consumption
Evolution of salt consumption during the study period in g/24h
Time frame: Every 6 months for 24 months
24h protein consumption
Evolution of protein consumption during the study period in g/24h
Time frame: Every 6 months for 24 months
Quality of life score
Scores from Evaluation Quality of life,5 dimensions, 5 levels (EQ-5D-5L), the higher the score the better the outcome
Time frame: through study completion, an average of 6 months
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