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

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Listed:
  • Maxime Raffray

    (Univ Rennes, French School of Public Health (EHESP), Pharmaco-epidemiology and health Services Research, (REPERES)-EA 7449, 35043 Rennes, France)

  • Sahar Bayat

    (Univ Rennes, French School of Public Health (EHESP), Pharmaco-epidemiology and health Services Research, (REPERES)-EA 7449, 35043 Rennes, France)

  • Arnaud Campéon

    (EHESP, Arènes, CNRS, UMR 6051, 35043 Rennes, France)

  • Laëtitia Laude

    (EHESP, Health Organizations Management (MOS)-EA 7348, 35043 Rennes, France)

  • Cécile Vigneau

    (Department of Nephrology, Centre Hospitalier Universitaire, 35000 Rennes, France
    Univ Rennes, Inserm, UMR 1085, 35000 Rennes, France)

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.

Suggested Citation

  • Maxime Raffray & Sahar Bayat & Arnaud Campéon & Laëtitia Laude & Cécile Vigneau, 2019. "The Pre-Dialysis Care Trajectory of Chronic Kidney Disease Patients and the Start of Dialysis in Emergency: A Mixed Method Study Protocol," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:5010-:d:295957
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    References listed on IDEAS

    as
    1. Cindy M. Padilla & Maxime Raffray & Adélaïde Pladys & Cécile Vigneau & Sahar Bayat, 2018. "Geographic Variations in the Risk of Emergency First Dialysis for Patients with End Stage Renal Disease in the Bretagne Region, France," IJERPH, MDPI, vol. 16(1), pages 1-16, December.
    2. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
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