Chronic Kidney Disease End Stage Renal Disease
Conditions
Interventions
None listed
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: All patients and their spouses aged 75 and over, attending the outpatient services at participating institutions.
Exclusion criteria
Exclusion criteria: Only patients with ESRD or dialysis, history of solid organ or bone marrow transplantation, active malignancy within 24 months prior to screening or metastatic cancer, life expectancy less than 6 months, severe cognitive impairment (MMSE
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study endpoints will be the rate of eGFR decline and the incidence of ESRD. - Creatinine-based eGFR will be calculated using the Berlin Initiative Study 1 (BIS1) equation, which is the only method specifically developed in a population older than 70 years - ESRD will be defined as GFR | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study endpoints include conventional and geriatric outcome measures, such as: i. kidney function decline as estimated by novel application of existing biomarkers (cystatin C, beta2-microglobulin, beta-trace protein) or innovative biomarkers (proteomic/metabolomic) (see following sections for details). ii. changes in biological and molecular markers linked to aging processes iii. CKD complications (anemia, hyperphosphatemia, acidosis, hypoalbuminemia, hyperparathyroidism, hyperkaliemia); iv. incidence of major comorbidities (information about CV events will include incident myocardial infarction, hospitalization for unstable angina, transient ischemic attack/stroke, heart failure events, interventional cardiology events, peripheral vascular intervention, and stent thrombosis); v. overall and CV mortality (including death resulting from acute myocardial infarction, sudden cardiac death, heart failure, stroke, CV procedures, CV hemorrhage, and other CV causes); vi. adverse drug reactions (ADRs); vii. self-reported disability and objectively measured physical performance decline; cognitive impairment; depression; malnutrition/undernutrition; viii. health-related quality of life; ix. healthcare resource consumption, including the estimation of caregiver burden, and model based cost-effectiveness. | — |
Countries
Netherlands
Outcome results
None listed