Systemic Redesign and Demonstration for Early Detection, Evaluation and Management of Chronic Kidney Disease in Shanghai

Study Overview
=================
Brief Summary
-----------------
Based on clinical evidence based medicine and organizational management model, investigators redesign the prevention and treatment of chronic kidney disease of public health system in Shanghai China. The investigators hope to find early chronic kidney disease, prevention and clinical intervention of orderly combination. The advantages of this system were confirmed by comparing the prevalence rate, awareness rate and treatment rate before and after the completion of the system.

Detailed Description
-----------------
The whole study mainly includes the following parts: Establishment of a database of patients with kidney disease, and training data entry specialist in every center. Conduct propaganda of kidney disease knowledge, training professional doctors in center hospital and community hospital. Search for high-risk patients, and screening for patients with kidney disease from community residents in community hospital. Establishment of a standardized and orderly patient referral process from community hospital to center hospital or three level of first-class hospital.

Official Title
-----------------
Systemic Redesign and Demonstration for Early Detection, Evaluation and Management of Chronic Kidney Disease in Shanghai

Conditions
-----------------
Chronic Kidney Diseases

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Over 18 years of age. Signed informed consent Exclusion Criteria: Refused to accept the blood and urine test

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| chronic kidney disease patients group<br>These patients were screened from 2000000 of the population. The investigator will compare the prevalence rate, awareness rate and treatment rate before and after the completion of the system. The degree of decreased glomerular filtration rate is also an important evaluation index. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| prevalence rate of chronic kidney disease | Change in prevalence rate of chronic kidney disease in shanghai from baseline to 3 years. | baseline and 12 months, an average of 3 years | 
| awareness rate of chronic kidney disease | Change in awareness rate of chronic kidney disease in shanghai from baseline to 3 years. | baseline and 12 months, an average of 3 years | 
| treatment rate of chronic kidney disease | Change in using standardized and orderly patient referral process from community hospital to center hospital or three level of first-class hospital. in shanghai from baseline to 3 years. | baseline and 12 months, an average of 3 years | 
| The degree of decreased glomerular filtration rate in chronic kidney patients | The degree of decreased glomerular filtration rate in chronic kidney patients, compared with healthy people and reported level in the literatures | through study completion, an average of 3 years |