Chronic Kidney Disease
Conditions
Keywords
risk factors, omics, multidisciplinary care
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. Early diagnosis of disease and proper management remain challenging. The aims of this study are: 1. Explore risk factors associated with CKD 2. Establish multidisciplinary care model for CKD patients 3. Development cost-effective clinical care pathway for CKD 4. Provide bio-specimen repository for future study
Detailed description
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. Early diagnosis of disease and proper management remain challenging. The aims of this study are: 1. Explore risk factors associated with CKD: demographic, social and genetics factors 2. Establish multidisciplinary care model for CKD patients 3. Development cost-effective clinical care pathway for CKD 4. Provide bio-specimen repository for future study: serum, PBMC, urine and stool
Interventions
multidisciplinary CKD care involving case management nurse, dietitian, social worker, pharmacists.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects visiting outpatient clinics of nephrology of Chang Gung Memorial Hospital
Exclusion criteria
* Patient receiving dialysis or transplantation * Unwilling to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| percentage (%) | through study completion, every 1 year | percentage of patients with new CKD, starting dialysis treatments, cardiovascular event or mortality |
| difference of US dollars | through study completion, every 1 year | differences of US dollars of medical care (out patients and inpatients service fees) between groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| fold changes of proteins | through study completion, every 1 year | change of levels between groups |
| fold changes of microRNA | through study completion, every 1 year | change of levels between groups |
Other
| Measure | Time frame | Description |
|---|---|---|
| change of taxonomic units abundance of specific microbiota | through study completion, every 1 year | change of levels between groups |
| changes of metabolites | through study completion, every 1 year | change of levels between groups |
Countries
Taiwan