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Completed

NCT Number: NCT04337957

Elderly Patients With Renal Insufficiency: Reasons for Using the Geriatrician, Modalities and Results of the Geriatric Evaluation, Becoming at One Year

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

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Key information

Age range

75 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

CHU de Nîmes

Nîmes, 30029, France

About this study

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.

Who can participate

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

geriatric nephrology

Other

Collection of the geriatrician's opinion

Primary outcomes

  1. reason for the nephrologist's recourse for a geriatric assessment with a geriatric team

    Time frame: up to one year

    geriatric syndromes recorded from medical records

Secondary outcomes

  1. geriatric advice for therapeutic project including dialysis option

    Time frame: up to one year

    rate of geriatric advice for therapeutic project including dialysis option listed from medical records

  2. falls recorded from geriatric assessment medical records

    Time frame: up to one year

    number of falls recorded from geriatric assessment medical records

  3. death,assessment from medical records

    Time frame: at one year

    number of death recorded from medical records

  4. dialyses and death recorded from medical records

    Time frame: at one year

    rate of dialyses and death recorded from medical records

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire de Nīmes

Other

Registry information

Acronym: NephroG

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Apr 8, 2020
Registry last updated
Jul 14, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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