The Pre-Dialysis Care Trajectory of Chronic Kidney Disease Patients and the Start of Dialysis in Emergency: A Mixed Method Study Protocol

Maxime Raffray 1 Sahar Bayat 2 Arnaud Campéon 3, 4 Laetitia Laude 5, 4 Cécile Vigneau 6, 7
1 REPERES - Recherche en Pharmaco-épidémiologie et Recours aux Soins
2 Modélisation Conceptuelle des Connaissances Biomédicales
3 ARENES - Centre de Recherches sur l'Action Politique en Europe
4 EHESP - École des Hautes Études en Santé Publique [EHESP]
5 EA MOS - EA Management des Organisations de Santé
PRES Sorbonne Paris Cité, EHESP - École des Hautes Études en Santé Publique [EHESP] : EA 7348 MOS
6 Irset - Institut de recherche en santé, environnement et travail
7 CHU Pontchaillou [Rennes]
Abstract : Chronic Kidney Disease (CKD) is an important public health issue that requires early and close medical monitoring to start Renal Replacement Therapy (RRT) in the best conditions. However, in France, about 1/3 of patients start dialysis in emergency, despite the existence of CKD management guidelines. Using both quantitative and qualitative methods, we wanted to analyze the pre-dialysis care trajectory of patients with CKD and document the causes of Emergency dialysis Start (ES). To this aim, we designed a convergent mixed-method study. The quantitative component will analyze individual healthcare consumption and clinical data to identify the risk factors of ES by comparing the trajectories of patients who started dialysis in emergency in 2015 in France with those of patients who started in a planned manner and with the national recommendations. The qualitative component will explore the patients’ trajectories and identify barriers to a planned start using semi-structured interviews with patients who started dialysis in emergency and with their general practitioners and nephrologists. Using the strengths of a mixed methodology, this study will bring robust and valuable findings to improve the care of CKD patients.
Keywords : Mixed methods Emergency start dialysis Chronic kidney disease Care trajectory Big data
Document type :
Journal articles
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https://hal.ehesp.fr/hal-02440742
Contributor : Scd Ehesp <>
Submitted on : Wednesday, January 15, 2020 - 12:53:26 PM
Last modification on : Thursday, January 16, 2020 - 1:38:56 AM

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EHESP | EHESP-ARENES | SHS-EHESP | IRSET | CRAPE | REPERES | CRAPE-SARRI | UNIV-RENNES1 | IRSET-8 | BIOSIT | UR1-UFR-SVE | MOS | UR1-DROIT | CRAPE-E1 | UNIV-RENNES | UNIV-ANGERS | USPC | CNRS

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Maxime Raffray, Sahar Bayat, Arnaud Campéon, Laetitia Laude, Cécile Vigneau. The Pre-Dialysis Care Trajectory of Chronic Kidney Disease Patients and the Start of Dialysis in Emergency: A Mixed Method Study Protocol. International Journal of Environmental Research and Public Health, MDPI, 2019, 16 (24), pp.5010. ⟨10.3390/ijerph16245010⟩. ⟨hal-02440742⟩

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