Advanced chronic renal failure (ACRF) study. Baseline characteristics, evaluation of the application of the structured information for the election of renal replacement therapy and one-year evolution of the incident patients in the ACRF medical office
Analyze evolution Renal Chronic Failure stage 4-5 (ACRF) patients and influence information they receive (educational process, EP) in modality Renal Replacement Therapy (RRT) or conservative treatment (CT) in multidisciplinar ACRF Office. Prospective, multicenter study (3 centers). Inclusion: from J...
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| Veröffentlicht in: | Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia 2019-11, Vol.39 (6), p.629-637 |
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| creator | Guerrero Riscos, María Angeles Toro Prieto, Francisco Javier Batalha Caetano, Paula Salgueira Lazo, Mercedes González Cabrera, Fayna Marrero Robayna, Silvia Santana Estupiñán, Raquel Álvarez Martín, Carlos |
| description | Analyze evolution Renal Chronic Failure stage 4-5 (ACRF) patients and influence information they receive (educational process, EP) in modality Renal Replacement Therapy (RRT) or conservative treatment (CT) in multidisciplinar ACRF Office.
Prospective, multicenter study (3 centers). Inclusion: from June-01-2014 to October-01-2015; observation: 12 months or until start RRT or death if they occur before 12 months; ends October-01-2016.
336 patients were included (60% males), median and intercuartile rank 71.5 (17), 55% ≥ 70 years; Follow up initiation eGFR CKD-EPI: 21 (9) ml / min / 1.73m
; Charlson Index (ChI) with / without age 8 (3) / 4 (2); Diabetic patients: 52,4%. The EP was carried out in 168, eGFR 15 (10) ml / min / 1.73m
. The initial treatment election: 26% peritoneal dialysis (PD), 45% hemodyalisis (HD), 26% CT, kidney trasplant 3%; 60 patients started RRT: 3.3% kidney traspant; 30% PD, 66% HD; 104 admissions in 73 patients, the most frequent cause: cardiovascular disease (42%). Fallecimiento: 23 patients (6.8%). Age was higher (78.4 (6) vs. 67.8 (13.4), P |
| doi_str_mv | 10.1016/j.nefro.2019.02.004 |
| format | Article |
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Prospective, multicenter study (3 centers). Inclusion: from June-01-2014 to October-01-2015; observation: 12 months or until start RRT or death if they occur before 12 months; ends October-01-2016.
336 patients were included (60% males), median and intercuartile rank 71.5 (17), 55% ≥ 70 years; Follow up initiation eGFR CKD-EPI: 21 (9) ml / min / 1.73m
; Charlson Index (ChI) with / without age 8 (3) / 4 (2); Diabetic patients: 52,4%. The EP was carried out in 168, eGFR 15 (10) ml / min / 1.73m
. The initial treatment election: 26% peritoneal dialysis (PD), 45% hemodyalisis (HD), 26% CT, kidney trasplant 3%; 60 patients started RRT: 3.3% kidney traspant; 30% PD, 66% HD; 104 admissions in 73 patients, the most frequent cause: cardiovascular disease (42%). Fallecimiento: 23 patients (6.8%). Age was higher (78.4 (6) vs. 67.8 (13.4), P<.001), higher ChI 9.8 (2.1) vs. 7.4 (2.5), P<.001). All deceased who received EP had chosen CT; 61% of deceased had at least one hospital admission vs. 39% alive (P<0.001). Cox regression: age and Charlson index were the predictive mortality variables.
The population of ACRF patients is elder, comorbid, with high rate hospitalizations rate. The PD election is higher than usual. The EP has been very useful tool and has favored the PD choice.</description><identifier>EISSN: 1989-2284</identifier><identifier>EISSN: 2013-2514</identifier><identifier>DOI: 10.1016/j.nefro.2019.02.004</identifier><identifier>PMID: 31027895</identifier><language>eng ; spa</language><publisher>Spain</publisher><ispartof>Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia, 2019-11, Vol.39 (6), p.629-637</ispartof><rights>Copyright © 2019 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31027895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guerrero Riscos, María Angeles</creatorcontrib><creatorcontrib>Toro Prieto, Francisco Javier</creatorcontrib><creatorcontrib>Batalha Caetano, Paula</creatorcontrib><creatorcontrib>Salgueira Lazo, Mercedes</creatorcontrib><creatorcontrib>González Cabrera, Fayna</creatorcontrib><creatorcontrib>Marrero Robayna, Silvia</creatorcontrib><creatorcontrib>Santana Estupiñán, Raquel</creatorcontrib><creatorcontrib>Álvarez Martín, Carlos</creatorcontrib><title>Advanced chronic renal failure (ACRF) study. Baseline characteristics, evaluation of the application of the structured information for the election of renal replacement therapy and one-year evolution of the incident patients in the ACRF medical office</title><title>Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia</title><addtitle>Nefrologia</addtitle><description>Analyze evolution Renal Chronic Failure stage 4-5 (ACRF) patients and influence information they receive (educational process, EP) in modality Renal Replacement Therapy (RRT) or conservative treatment (CT) in multidisciplinar ACRF Office.
Prospective, multicenter study (3 centers). Inclusion: from June-01-2014 to October-01-2015; observation: 12 months or until start RRT or death if they occur before 12 months; ends October-01-2016.
336 patients were included (60% males), median and intercuartile rank 71.5 (17), 55% ≥ 70 years; Follow up initiation eGFR CKD-EPI: 21 (9) ml / min / 1.73m
; Charlson Index (ChI) with / without age 8 (3) / 4 (2); Diabetic patients: 52,4%. The EP was carried out in 168, eGFR 15 (10) ml / min / 1.73m
. The initial treatment election: 26% peritoneal dialysis (PD), 45% hemodyalisis (HD), 26% CT, kidney trasplant 3%; 60 patients started RRT: 3.3% kidney traspant; 30% PD, 66% HD; 104 admissions in 73 patients, the most frequent cause: cardiovascular disease (42%). Fallecimiento: 23 patients (6.8%). Age was higher (78.4 (6) vs. 67.8 (13.4), P<.001), higher ChI 9.8 (2.1) vs. 7.4 (2.5), P<.001). All deceased who received EP had chosen CT; 61% of deceased had at least one hospital admission vs. 39% alive (P<0.001). Cox regression: age and Charlson index were the predictive mortality variables.
The population of ACRF patients is elder, comorbid, with high rate hospitalizations rate. The PD election is higher than usual. The EP has been very useful tool and has favored the PD choice.</description><issn>1989-2284</issn><issn>2013-2514</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpVkUFr3DAQhUWhNCHNLwgUHVOoXUm2tdJxuyRpIVAozXkZSyOiIsuuJAf2t_dSbTaB9jTDvI83bxhCrjhrOePy8682oktzKxjXLRMtY_0bcs610o0Qqj8jlzn7kXWyZ0px9o6cdZyJjdLDOfmztU8QDVpqHtMcvaEJIwTqwIc1Ib3e7n7cfqS5rPbQ0i-QMfiIFYYEpmDyuXiTP1F8grBC8XOks6PlESksS_Dmv1EuaTWl2lrqo5vTdFJr9yxjQPOKn1IkXAIYnDCWI5FgOVCIls4RmwNCqmvnsP67wkfj7RFfqnetuU6eheMddEJbI4UKO2_wPXnrIGS8fKkX5OH25ufua3P__e7bbnvfLLznpcEBjO716AanpLKisxy5kYPrmdtIziwyY4cRpBiFVAo5Muw0d4PGwXXGdhfk-uS7pPn3irnsJ58NhgAR5zXvheBSKL3pZEU_vKDrWMPul-QnSIf968O6v_7YnwA</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Guerrero Riscos, María Angeles</creator><creator>Toro Prieto, Francisco Javier</creator><creator>Batalha Caetano, Paula</creator><creator>Salgueira Lazo, Mercedes</creator><creator>González Cabrera, Fayna</creator><creator>Marrero Robayna, Silvia</creator><creator>Santana Estupiñán, Raquel</creator><creator>Álvarez Martín, Carlos</creator><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201911</creationdate><title>Advanced chronic renal failure (ACRF) study. Baseline characteristics, evaluation of the application of the structured information for the election of renal replacement therapy and one-year evolution of the incident patients in the ACRF medical office</title><author>Guerrero Riscos, María Angeles ; Toro Prieto, Francisco Javier ; Batalha Caetano, Paula ; Salgueira Lazo, Mercedes ; González Cabrera, Fayna ; Marrero Robayna, Silvia ; Santana Estupiñán, Raquel ; Álvarez Martín, Carlos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-e5ac949bf5f868d23d1e1c65f40f7610de0cd5ba62b2688e1e0e391f59e5f3cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2019</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guerrero Riscos, María Angeles</creatorcontrib><creatorcontrib>Toro Prieto, Francisco Javier</creatorcontrib><creatorcontrib>Batalha Caetano, Paula</creatorcontrib><creatorcontrib>Salgueira Lazo, Mercedes</creatorcontrib><creatorcontrib>González Cabrera, Fayna</creatorcontrib><creatorcontrib>Marrero Robayna, Silvia</creatorcontrib><creatorcontrib>Santana Estupiñán, Raquel</creatorcontrib><creatorcontrib>Álvarez Martín, Carlos</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guerrero Riscos, María Angeles</au><au>Toro Prieto, Francisco Javier</au><au>Batalha Caetano, Paula</au><au>Salgueira Lazo, Mercedes</au><au>González Cabrera, Fayna</au><au>Marrero Robayna, Silvia</au><au>Santana Estupiñán, Raquel</au><au>Álvarez Martín, Carlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advanced chronic renal failure (ACRF) study. Baseline characteristics, evaluation of the application of the structured information for the election of renal replacement therapy and one-year evolution of the incident patients in the ACRF medical office</atitle><jtitle>Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia</jtitle><addtitle>Nefrologia</addtitle><date>2019-11</date><risdate>2019</risdate><volume>39</volume><issue>6</issue><spage>629</spage><epage>637</epage><pages>629-637</pages><eissn>1989-2284</eissn><eissn>2013-2514</eissn><abstract>Analyze evolution Renal Chronic Failure stage 4-5 (ACRF) patients and influence information they receive (educational process, EP) in modality Renal Replacement Therapy (RRT) or conservative treatment (CT) in multidisciplinar ACRF Office.
Prospective, multicenter study (3 centers). Inclusion: from June-01-2014 to October-01-2015; observation: 12 months or until start RRT or death if they occur before 12 months; ends October-01-2016.
336 patients were included (60% males), median and intercuartile rank 71.5 (17), 55% ≥ 70 years; Follow up initiation eGFR CKD-EPI: 21 (9) ml / min / 1.73m
; Charlson Index (ChI) with / without age 8 (3) / 4 (2); Diabetic patients: 52,4%. The EP was carried out in 168, eGFR 15 (10) ml / min / 1.73m
. The initial treatment election: 26% peritoneal dialysis (PD), 45% hemodyalisis (HD), 26% CT, kidney trasplant 3%; 60 patients started RRT: 3.3% kidney traspant; 30% PD, 66% HD; 104 admissions in 73 patients, the most frequent cause: cardiovascular disease (42%). Fallecimiento: 23 patients (6.8%). Age was higher (78.4 (6) vs. 67.8 (13.4), P<.001), higher ChI 9.8 (2.1) vs. 7.4 (2.5), P<.001). All deceased who received EP had chosen CT; 61% of deceased had at least one hospital admission vs. 39% alive (P<0.001). Cox regression: age and Charlson index were the predictive mortality variables.
The population of ACRF patients is elder, comorbid, with high rate hospitalizations rate. The PD election is higher than usual. The EP has been very useful tool and has favored the PD choice.</abstract><cop>Spain</cop><pmid>31027895</pmid><doi>10.1016/j.nefro.2019.02.004</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| title | Advanced chronic renal failure (ACRF) study. Baseline characteristics, evaluation of the application of the structured information for the election of renal replacement therapy and one-year evolution of the incident patients in the ACRF medical office |
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