The renal epidemiology and information network (REIN): a new registry for end-stage renal disease in France.
Cécile Couchoud,Bénédicte Stengel,Paul Landais,Jean-Claude Aldigier,François de Cornelissen,Christian Dabot,Hervé Maheut,Véronique Joyeux,Michèle Kessler,Michel Labeeuw,Hubert Isnard,Christian Jacquelinet +11 more
TLDR
The experience in these seven regions over these two years clearly shows the feasibility of the REIN registry, which is progressively expanding to cover the entire country.Abstract:
The French Renal Epidemiology and Information Network (REIN) registry began in 2002 to provide a tool for public health decision support, evaluation and research related to renal replacement therapies (RRT) for end-stage renal disease (ESRD). It relies on a network of nephrologists, epidemiologists, patients and public health representatives, coordinated regionally and nationally. Continuous registration covers all dialysis and transplanted patients. In 2003, 2070 patients started RRT, 7854 were on dialysis and 7294 lived with a functioning graft in seven regions (with a population of 16.5 million people). The overall crude annual incidence rate of RRT for ESRD was 123 per million population (p.m.p.) with significant differences in age-adjusted rates across regions, from 84 [95% confidence interval (CI): 74-94] to 155 [138-172] p.m.p. The principal causes of ESRD were hypertension (21%) and diabetic (20%) nephropathies. Initial treatment for ESRD was peritoneal dialysis for 15% of patients and a pre-emptive graft for 3%. The one-year survival rate was 81% [79-83] in the cohort of 2002-2003 incident patients. As of December 31, 2003, the overall crude prevalence was 898 [884-913] p.m.p, with 5% of patients receiving peritoneal dialysis, 47% on haemodialysis and 48% with a functioning graft. The experience in these seven regions over these two years clearly shows the feasibility of the REIN registry, which is progressively expanding to cover the entire country.read more
Citations
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A clinical score to predict 6-month prognosis in elderly patients starting dialysis for end-stage renal disease
Cécile Couchoud,Michel Labeeuw,Olivier Moranne,Vincent Allot,Vincent L.M. Esnault,Luc Frimat,Bénédicte Stengel +6 more
TL;DR: This simple clinical score effectively predicts short-term prognosis among elderly patients starting dialysis, but it ought to only be used by nephrologists to facilitate the discussion with the patients and their families.
Journal ArticleDOI
Intensive Hemodialysis Associates with Improved Survival Compared with Conventional Hemodialysis
Gihad Nesrallah,Robert M. Lindsay,Meaghan S. Cuerden,Amit X. Garg,Amit X. Garg,Friedrich K. Port,Peter C. Austin,Louise Moist,Andreas Pierratos,Christopher T. Chan,Deborah Zimmerman,Robert S. Lockridge,Cécile Couchoud,Charles Chazot,Norma J. Ofsthun,Adeera Levin,Michael Copland,Mark Courtney,Andrew W. Steele,Philip A. McFarlane,Denis F. Geary,Robert P. Pauly,Paul Komenda,Rita S. Suri +23 more
TL;DR: There is a strong association between intensive home hemodialysis and improved survival, but whether this relationship is causal remains unknown.
Journal ArticleDOI
Effect of Age, Gender, and Diabetes on Excess Death in End-Stage Renal Failure
TL;DR: Standardized mortality ratios (SMR) in comparison with GP were computed in the first to the fifth years after first dialysis to assess the evolution of excess mortality by age, gender, nephropathy, and dialysis modality after first Dialysis.
Journal ArticleDOI
French peritoneal dialysis registry (RDPLF): Outline and main results
Christian Verger,Jean-Philippe Ryckelynck,Mirela Duman,Ghislaine Veniez,Thierry Lobbedez,Eric Boulanger,Olivier Moranne +6 more
TL;DR: The RDPLF results demonstrate that PD may be successfully prescribed for older patients who receive assistance either from their family or from a nurse, and a larger number of younger patients should also be prescribed this technique in France.
Journal ArticleDOI
Age and comorbidity may explain the paradoxical association of an early dialysis start with poor survival.
Mathilde Lassalle,Michel Labeeuw,Luc Frimat,Emmanuel Villar,Véronique Joyeux,Cécile Couchoud,Bénédicte Stengel,Bénédicte Stengel +7 more
TL;DR: In this article, mortality hazard ratios associated with modification of Diet in Renal Disease eGFR at dialysis initiation for 11,685 patients from the French REIN Registry, with sequential adjustment for a number of covariates.
References
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