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Réalité de la prise en charge de la maladie rénale chronique en néphrologie en France : étude de cohorte CKD-REIN

dc.rights.licenseopenen_US
dc.contributor.authorALENCAR DE PINHO, Natalia
dc.contributor.authorCAPGRAS, Jean-Baptiste
dc.contributor.authorSPEYER, Élodie
hal.structure.identifierBioingénierie tissulaire [BIOTIS]
dc.contributor.authorCOMBE, Christian
dc.contributor.authorFOUQUE, Denis
dc.contributor.authorFRIMAT, Luc
dc.contributor.authorMASSY, Ziad
dc.contributor.authorAYAV, Carole
dc.contributor.authorLIABEUF, Sophie
dc.contributor.authorLANGE, Céline
dc.contributor.authorJACQUELINET, Christian
dc.contributor.authorSTENGEL, Bénédicte
dc.contributor.authorPASCAL, Christophe
dc.contributor.authorLAVILLE, Maurice
dc.date.accessioned2021-12-21T08:56:49Z
dc.date.available2021-12-21T08:56:49Z
dc.date.issued2021-12-01
dc.identifier.issn1872-9177en_US
dc.identifier.otherhttp://dx.doi.org/10.1016/j.nephro.2021.06.008en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/124238
dc.description.abstractEnTo be able to assess the impact of the bundled payment system on real-life management of patients with chronic kidney disease, an overview of patient-care management before its implementation is needed. We describe patterns of nephrology care over 3 years in 2835 patients with moderate to severe chronic kidney disease, who were followed-up from 2013 to 2019 in the CKD-REIN cohort study. Compliance with health authority guidelines during this period is also studied. At baseline, patients' mean age was 67 years, 65% were men, and 43% had chronic kidney disease stage 4 or 5. The mean number of nephrology visits increased from 1.1 to 2.7 per year, from chronic kidney disease stage 3A to stage 5. The minimum number of nephrology visits as recommended by health authorities was achieved in 84%, 63%, and 33% of patients with chronic kidney disease stages 3B, 4, and 5, respectively. In chronic kidney disease stages 4 and 5, only 34% and 40% of patients had seen a dietitian, and 33% and 54% had received information about treatment options, respectively. The average waiting time for a first appointment with a nephrologist was longer, 60 days and its duration shorter, 30 vs 38 to 40 minutes, in university hospitals compared with non-university hospitals and private clinics. The significant gap between received and recommended care reflects human resources and organizational limits in chronic kidney disease management in the nephrology setting. Improvements with bundled payment are expected.
dc.language.isoENen_US
dc.subject.enAged
dc.subject.enCohort Studies
dc.subject.enHumans
dc.subject.enMale
dc.subject.enNephrology
dc.subject.enRenal Insufficiency
dc.subject.enChronic
dc.titleRéalité de la prise en charge de la maladie rénale chronique en néphrologie en France : étude de cohorte CKD-REIN
dc.title.enCKD care in French nephrology practices
dc.title.alternativeNephrol Theren_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.nephro.2021.06.008en_US
dc.subject.halSciences du Vivant [q-bio]/Biotechnologiesen_US
dc.identifier.pubmed34384728en_US
bordeaux.journalNéphrologie & Thérapeutiqueen_US
bordeaux.page496-506en_US
bordeaux.volume17en_US
bordeaux.hal.laboratoriesBioingénierie Tissulaire (BioTis) - UMR_S 1026en_US
bordeaux.issue7en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionCNRSen_US
bordeaux.institutionINSERMen_US
bordeaux.institutionCHU de Bordeauxen_US
bordeaux.institutionInstitut Bergoniéen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcepubmed
hal.identifierhal-03398645
hal.version1
hal.exportfalse
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
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