Cessation of Dialysis Treatment in Reinbek and Geesthacht

Study Overview
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Brief Summary
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Currently, approximately 80.000 patients with end stage renal disease (ESRD) in Germany undergo chronic renal replacement therapy, either as hemodialysis or peritonealdialysis. Since the nationwide registry for chronic dialysis patients (QuasiNiere) was terminated in 2006, no data exist from that time on regarding alterations in morbidity and mortality of patients with end stage renal disease in Germany. With this study we start a single center prospective registry of all patients undergoing hemodialysis or peritonealdialysis therapy in our two nephrology departments Reinbek and Geesthacht. In these centers we perform approximately 34.000 hemodialysis sessions and supervise about 10.000 peritoneal treatment days of about 300 ESRD patients annually. The aim of the study is to analyze all patients who stopped dialysis treatment in our centers due to death, kidney transplantation, recovery of renal function or other causes. Patients characteristics such as underlying renal diseases, duration of dialysis, co-morbidities as well as laboratory parameters will be recorded. The data is collected with an Microsoft Access Database and analyzed by a statistician of the University of Luebeck (Germany). Power calculations revealed, that at least 200 patients were necessary to detect differences in particular interesting variables such as vascular access or the need of palliative care. During the last years at least 50 patients stopped chronic renal replacement therapy at out centers annually. Thus, the first interims evaluation is expected after 4 years. The results of our study are important to estimate the development of patient age and renal diseases responsible for dialysis therapy in our centers. Moreover, the results may add important information to our internal quality assurance.

Official Title
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Analysis of Cessation of the Dialysis Treatment in Reinbek-Northern Germany

Conditions
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Complication of Renal Dialysis, Long-Term Disorder of Dialysis

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with end stage renal disease and hemodialyis or peritonealdialysis Renal replacement therapy performed in our centers Reinbek or Geesthacht at least 4 weeks of dialysis treatment in any of our two treatment sites Exclusion Criteria: dialysis treatment period in our centers shorten than 4 weeks

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dialysis time (months) as a function of patient age (years). | Differences of the dialysis time (months) between patients < 65 years, 65-80 years and > 80 years. | 4 years | 
| Underlying renal disease of ESRD patients | Differences of the underlying renal disease between patients with initiation of dialysis prior to 31.12.2012 or after 1.1.2013 | 6 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Albumin concentration of ESRD patients | Serum albumin concentration of dialysis patients at initiation of treatment, after 6 months and at cessation of dialysis | 6 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hemodialyis, Peritonealdialysis, Qualitiy assurance dialysis