Elderly Patients With Renal Insufficiency: Reasons for Using the Geriatrician, Modalities and Results of the Geriatric Evaluation, Becoming at One Year (NephroG)
The incidence and prevalence of kidney failure increases with age. Elderly people with chronic kidney disease may have factors of fragility (loss of independence, comorbidities, geriatric syndromes) that can complicate the choice and implementation of the nephrological therapeutic project. Joint and early assessment of these patients by a nephrologist and a geriatrician could help to optimize the definition of care objectives and patient pathway.
There is little data on how nephrologists and geriatricians cooperate and on the description of frailties in elderly patients with renal impairment.
In this context, the objective of this study is to describe in a French university hospital the reasons for the use of geriatricians by nephrologists, the modalities of geriatric evaluation and the socio-demographic and medical characteristics (including geriatric syndromes) of very elderly patients with renal insufficiency, and then to become so at one year.
Year of implementation of this research: 2019 based on data from 2017 and 2019. Approximate number of people likely to be included in the research: 100 patients
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
There is little data on how nephrologists and geriatricians cooperate and on the description of frailties in elderly patients with renal impairment.
In this context, the objective of this study is to describe in a French university hospital the reasons for the use of geriatricians by nephrologists, the modalities of geriatric evaluation and the socio-demographic and medical characteristics (including geriatric syndromes) of very elderly patients with renal insufficiency, and then to become so at one year.
Secondary objectives :
- describe the modalities of the geriatric evaluation
- describe the socio-demographic, medical characteristics (including fragilities and/or geriatric syndromes) of elderly patients with renal insufficiency
- describe how to become one year old.
Origin and nature of the data collected:
- Socio-demographic, medical and geriatric data (see attached document) based on geriatric assessment medical records (reports of external geriatric consultation and/or intervention by the mobile geriatric team).
The approximate duration of the study will be 9 months. This time includes the time required for statistical analysis and writing an article.
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
-
-
-
Nîmes, France, 30029
- CHU de Nîmes
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- 75-year-old patient and older
- Renal insufficiency
- Use in 2017 and 2018 of a geriatric evaluation at the Nîmes University Hospital at the request of nephrologists (mobile geriatric team or external geriatric consultation).
Exclusion Criteria:
- Patient under guardianship, curatorship or judicial protection
- Patient under 75-year-old
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
reason for the nephrologist's recourse for a geriatric assessment with a geriatric team
Délai: up to one year
|
geriatric syndromes recorded from medical records
|
up to one year
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
geriatric advice for therapeutic project including dialysis option
Délai: up to one year
|
rate of geriatric advice for therapeutic project including dialysis option listed from medical records
|
up to one year
|
|
falls recorded from geriatric assessment medical records
Délai: up to one year
|
number of falls recorded from geriatric assessment medical records
|
up to one year
|
|
death,assessment from medical records
Délai: at one year
|
number of death recorded from medical records
|
at one year
|
|
dialyses and death recorded from medical records
Délai: at one year
|
rate of dialyses and death recorded from medical records
|
at one year
|
Collaborateurs et enquêteurs
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- Local/2019/VA-1
Informations sur les médicaments et les dispositifs, documents d'étude
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