Kidney failure
Conditions
Interventions
None listed
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Incident patients >=65 years with an estimated glomerular filtration of <= 20 ml/min/1.73m2 (based on MDRD) who have no history of transplantation or dialysis.
Exclusion criteria
Exclusion criteria: Patients not able to give informed consent by themselves.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. We will give a description of the progression of uremic signs and symptoms in patients. 2. The effects on survival and quality of life of dialysis start with a high renal function versus low renal function, dialysis start with a high number of symptoms and signs versus low number of symptoms and signs, and starting dialysis versus not starting dialysis will be investigated. 3.We will build models with values of kidney function derived from different methods that assess kidney function, i.e. serum creatinine-based measures like eGFR, 24-hrs urine collection-based measures, and tracer-based measures to develop a tool to assist clinicians in the decision when to start dialysis. 4.We will give a description whether patients were given information about the timing to start dialysis, whether patients were given information in which situations dialysis will be started, whether patients were given sufficient information about hemodialysis and peritoneal dialysis, whether patients had a preference to postpone dialysis or a preference for hemodialysis or peritoneal dialysis, and whether patients felt if they had influence on the decision making regarding the timing of initiation of dialysis. Furthermore, we will describe the reasons for the treating nephrologists why they started or not started dialysis yet in each patient. 5.We will give descriptions of renal Treatment Satisfaction Questionnaire scores for different subgroups. | — |
Countries
Netherlands
Outcome results
None listed