Geriatric Assessment for Older Kidney Transplantation Candidates

Study Overview
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Brief Summary
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Geriatric assessment is now widely used to decide whether older patients with chronic kidney disease should be put on the kidney transplantation waiting list. This study aims to evaluate the association between Geriatric assessment and inscription on kidney transplantation.

Detailed Description
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There is a high proportion of older patients among patients with kidney failure, raising the question of the access to kidney transplantation within these patients. Geriatric assessment is now widely used to decide whether older patients with chronic kidney disease should be put on the kidney transplantation waiting list. This study aims to evaluate the association between Geriatric assessment and inscription on kidney transplantation. Secondary objectives includes the analysis of the association between Geriatric assessment and: post-kidney transplantation outcomes quality of life. It also includes the evolution of Geriatric assessment while still on waiting list and after kidney transplantation. This study takes place in an University Hospital in Caen, France. This hospital is the only one performing kidney transplantation in the three French departments around. Candidates for kidney transplantation older than 70 years are systematically evaluated by a trained nurse and a geriatrician to perform a comprehensive geriatric assessment, evaluating cognitive functions, risk of fall, nutrition, frailty, functional status, and depressive symptoms. These patients are followed-up each year while still on the waiting list, and once after kidney transplantation. All patients evaluated within this consultation are proposed to enter the study. Patients are excluded in case of refusal or if they are unable to provide informed consent. The inclusion began in January 2019.

Official Title
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Evaluation gériatrique Avant Transplantation rénale

Conditions
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Chronic Kidney Diseases

Intervention / Treatment
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* Other: Geriatric assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients addressed for Geriatric assessment before inscription on kidney transplantation waiting list in Caen University Hospital, France Exclusion Criteria: Patient refusal Patient unable to provide informed consent

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Geriatric assessment|Geriatric assessment by a trained nurse and a geriatrician for older kidney transplantation candidates in Caen University Hospital. The geriatric assessment includes a evaluation of cognitive functions, depressive symptoms, risk of fall, nutrition, frailty, and functional status.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Inscription on kidney transplantation waiting list | Inscription on kidney transplantation waiting list | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of hospitalization in the year following kidney transplantation | Units: days | 1 year after kidney transplantation | 
| Delayed renal recovery following kidney transplantation | Dialysis requirement during the first week after kidney transplantation | 1 week after kidney transplantation | 
| Mortality | Death in the year following kidney transplantation | 1 year after kidney transplantation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chronic kidney disease, kidney transplantation, comprehensive geriatric assessment