Impact of the Implementation of CKD Coordination Function on Dialysis Initiation Frequency in Emergency

Impact of the Implementation of a Chronic Kidney Disease (CKD) Coordination Function on Dialysis Initiation Frequency in Emergency

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02878902

Acronym

ICoDU

Enrollment

200

Registered

2016-08-25

Start date

2013-01-31

Completion date

2015-12-31

Last updated

2016-08-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Kidney Disease

Keywords

emergency, coordination, dialysis

Brief summary

Kidney failure is a major public health problem. REIN registry shows that 33% of patients treated in renal replacement therapy for ESRD start dialysis in emergency. Unscheduled care is associated with an increased risk of morbidity and mortality, with less access to off dialysis center and kidney transplant. In addition, the emergency management has an impact on the organization of health structures. The High Authority of Health in 2012 issued a care pathway Guide aimed to report in this process of the multidisciplinary nature of the management and coordination of principles and procedures for the Chronic Renal failure and cooperation between professionals involved. A function of coordinator of the Chronic Renal Disease was set up in service since May 2013. Investigators propose to carry out a study to value its impact on the start of the dialysis in emergency and hypothesize that this feature innovative in France improves the patient pathway and thus reduce support emergency frequency of ESRD. The objective of this study is to show the improvement of the quality of care for terminally chronic renal failure patients. This is to evaluate an experiment aimed to facilitate a complex care path. If this experiment is successful, it could form part of advanced practice.

Interventions

OTHERPost implementation

Patient group whose care course was organized by the nurse coordinator of chronic renal failure

Study design

Observational model

COHORT

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patients over 18 years with terminal chronic renal failure enrolled in the course of care

Exclusion criteria

* Patients under 18 years * Patient Off Course * Patient beginning dialysis with a method of transition

Design outcomes

Primary

Measure	Time frame	Description
Percentage of emergency dialysis patients beginner	Change of this percentage from baseline at 2 years	The outcome is mesured at baseline (implementation of the nurse coordinator of chronic renal failure the nurse coordinator of chronic renal failure Baseline = implementation of this function of coordination of patients with chronic renal failure

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026