scholarly journals Comorbidity Profiles among Obese–Diabetic End-Stage Renal Disease Patients: Data from REIN Registry of PACA Region of France

2021 ◽  
Vol Volume 14 ◽  
pp. 617-625
Author(s):  
Asmatullah Kakar ◽  
Yosra Mouelhi ◽  
Anderson Loundou ◽  
Adeline Crémades ◽  
Stephanie Gentile
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Stage Renal Disease ◽  
End Stage ◽  
Rein Registry

scholarly journals Geographic Variations in the Risk of Emergency First Dialysis for Patients with End Stage Renal Disease in the Bretagne Region, France

2018 ◽  
Vol 16 (1) ◽  
pp. 18 ◽  
Author(s):  
Cindy Padilla ◽  
Maxime Raffray ◽  
Adélaïde Pladys ◽  
Cécile Vigneau ◽  
Sahar Bayat
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Lower Risk ◽  
Clinical Status ◽  
Spatial Scan Statistic ◽  
Scan Statistic ◽  
Geographic Variations ◽  
Stage Renal Disease ◽  
End Stage ◽  
Rein Registry

Emergency first dialysis start considerably increases the risk of morbidity and mortality. Our objective was to identify the geographic variations of emergency first dialysis risk in patients with end-stage renal disease in the Bretagne region, France. The spatial scan statistic approach was used to determine the clusters of municipalities with significantly higher or lower risk of emergency first dialysis. Patient data extracted from the REIN registry (sociodemographic, clinical, and biological characteristics) and indicators constructed at the municipality level, were compared between clusters. This analysis identified a cluster of municipalities in western Bretagne with a significantly higher risk (RR = 1.80, p = 0.044) and one cluster in the eastern part of the region with a significantly lower risk (RR = 0.59, p < 0.01) of emergency first dialysis. The degree of urbanization (the proportion of rural municipalities: 76% versus 66%, p < 0.001) and socio-demographic characteristics (the unemployment rate: 11% versus 8%, p < 0.001, the percentage of managers in the labor force was lower: 9% versus 13% p < 0.001) of the municipalities located in the higher-risk cluster compared with the lower-risk cluster. Our analysis indicates that the patients’ clinical status cannot explain the geographic variations of emergency first dialysis incidence in Bretagne. Conversely, where patients live seems to play an important role.

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