Dialysis' emergency start in 2012 in France: evolutions since 2006 and perspectives

Alain Michel (1) , Adélaide Pladys (2, 3, 4) , Sahar Bayat (4, 3) , Cécile Couchoud (5) , Cécile Vigneau (2, 1)

1 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
2 IGDR - Institut de Génétique et Développement de Rennes
3 EHESP - École des Hautes Études en Santé Publique [EHESP]
4 METIS - Département Méthodes quantitatives en santé publique
5 Registre REIN

In 2006, a previous study based on the French Nephrology Epidemiology Information Registry (REIN) showed a high proportion of dialysis’ emergency start (26.4%), associated with poorer prognosis (one-year survival 74,2% vs 87.4%). Since, significant efforts have been made to enhance early patients’ referral to nephrologist, and to improve their management at end-stage kidney failure. In the same time, guidelines evolved toward late initiation of dialysis, based on uremic signs. This study aims to compare the proportion, profile and prognosis of dialysis’ emergency start patients in 2006 and 2012. (Intro.)

Mots clés: Outcome research; Dialysis. Epidemiology; Health services research

Domaines: Génétique

Alain Michel, Adélaide Pladys, Sahar Bayat, Cécile Couchoud, Cécile Vigneau. Dialysis' emergency start in 2012 in France: evolutions since 2006 and perspectives. Nephrology Dialysis Transplantation, 2016, 31 (suppl 1), pp.281--281. ⟨10.1093/ndt/gfw175.07⟩. ⟨hal-01342516⟩