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What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?

The aim of this paper is to illustrate all the clinical epidemiology searches made within the French network REIN to improve CKD stage 4-5 care in older adults. We summarize various studies describing clinical practice, care organization, prognosis and health economics evaluation in order to develop...

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Autores principales: Moranne, Olivier, Hamroun, Aghilès, Couchoud, Cécile
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479600/
https://www.ncbi.nlm.nih.gov/pubmed/37675001
http://dx.doi.org/10.3389/fneph.2022.1026874
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author Moranne, Olivier
Hamroun, Aghilès
Couchoud, Cécile
author_facet Moranne, Olivier
Hamroun, Aghilès
Couchoud, Cécile
author_sort Moranne, Olivier
collection PubMed
description The aim of this paper is to illustrate all the clinical epidemiology searches made within the French network REIN to improve CKD stage 4-5 care in older adults. We summarize various studies describing clinical practice, care organization, prognosis and health economics evaluation in order to develop personalized care plans and decision-making tools. In France, for 20 years now, various databases have been mobilized including the national REIN registry which includes all patients receiving dialysis or transplantation. REIN data are indirectly linked to the French administrative healthcare database. They are also pooled with data from the PSPA cohort, a multicenter prospective cohort study of patients aged 75 or over with advanced CKD, monitored for 5 years, and the CKD-REIN clinical-based prospective cohort which included 3033 patients with CKD stage 3-4 from 2013 to 2016. During our various research work, we identified heterogeneous trajectories specific to this growing older population, raising ethical, organizational and economic issues. Renal registries will help clinicians, health providers and policy-makers if suitable decision- making tools are developed and validated.
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spelling pubmed-104796002023-09-06 What does the French REIN registry tell us about Stage 4-5 CKD care in older adults? Moranne, Olivier Hamroun, Aghilès Couchoud, Cécile Front Nephrol Nephrology The aim of this paper is to illustrate all the clinical epidemiology searches made within the French network REIN to improve CKD stage 4-5 care in older adults. We summarize various studies describing clinical practice, care organization, prognosis and health economics evaluation in order to develop personalized care plans and decision-making tools. In France, for 20 years now, various databases have been mobilized including the national REIN registry which includes all patients receiving dialysis or transplantation. REIN data are indirectly linked to the French administrative healthcare database. They are also pooled with data from the PSPA cohort, a multicenter prospective cohort study of patients aged 75 or over with advanced CKD, monitored for 5 years, and the CKD-REIN clinical-based prospective cohort which included 3033 patients with CKD stage 3-4 from 2013 to 2016. During our various research work, we identified heterogeneous trajectories specific to this growing older population, raising ethical, organizational and economic issues. Renal registries will help clinicians, health providers and policy-makers if suitable decision- making tools are developed and validated. Frontiers Media S.A. 2023-01-17 /pmc/articles/PMC10479600/ /pubmed/37675001 http://dx.doi.org/10.3389/fneph.2022.1026874 Text en Copyright © 2023 Moranne, Hamroun and Couchoud https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nephrology
Moranne, Olivier
Hamroun, Aghilès
Couchoud, Cécile
What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?
title What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?
title_full What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?
title_fullStr What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?
title_full_unstemmed What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?
title_short What does the French REIN registry tell us about Stage 4-5 CKD care in older adults?
title_sort what does the french rein registry tell us about stage 4-5 ckd care in older adults?
topic Nephrology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10479600/
https://www.ncbi.nlm.nih.gov/pubmed/37675001
http://dx.doi.org/10.3389/fneph.2022.1026874
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