Chronic Kidney Disease, Population, Community, Multidisciplinary, Education
Conditions
Brief summary
CKD is a global endemic disease with increased comorbidities and mortality. The prevalence and the incidence of the end-stage renal disease (ESRD) are extremely high in Taiwan. The prevalence of CKD remains high; however, the awareness remains low. Screening of unique risk factor and early diagnosis of CKD can improve outcome. Furthermore, data of renal education deep into the community remains limited. The aims of this study are: 1. Explore risk factors associated with CKD in the community 2. Establish multidisciplinary care model in the community 3. Investigate mechanistic mediators for CKD and multidisciplinary education approached in behavioral , physiological, immune and metabolomics aspects 4. Provide bio-specimen repository for future study
Interventions
multidisciplinary CKD care involving case management nurse, dietitian, social worker, pharmacists.
Sponsors
Study design
Eligibility
Inclusion criteria
* residents of Northern Taiwan
Exclusion criteria
* pregnancy women, unwilling to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| eGFR < 60 mL/min | through study completion, every 1 year | change of renal function between groups |
| albuminuria/creatinine ratio >=30 | through study completion, every 1 year | change of proteinuria between groups |
| proteinuria/creatine ratio >=150 | through study completion, every 1 year | change of proteinuria between groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| SF-36 | through study completion, every 1 year | change of score between groups |
Countries
Taiwan