Table 1.
Health care consumption in the 2 years before dialysis start by the incident dialysis patients for 2015 according to their care trajectory type
| Type of predialysis care trajectory |
|||||||
|---|---|---|---|---|---|---|---|
| 1 |
2 |
3 |
4 |
5 |
6 |
Total population |
|
| (n = 2299) | (n = 2853) | (n = 1830) | (n = 1121) | (n = 465) | (n = 288) | (N = 8856) | |
| Emergency dialysis start rate, % | 33.5 | 13.8 | 39.3 | 35.1 | 48.4 | 61.8 | 30.3 |
| Consultations with a GP | |||||||
| At least 4 times per semester | 944 (41.1) | 643 (22.5) | 424 (23.2) | 216 (19.3) | 9 (1.9) | 8 (2.8) | 2244 (25.3) |
| At least once per semester | 946 (41.1) | 1577 (55.3) | 1072 (58.6) | 611 (54.5) | 91 (19.6) | 43 (14.9) | 4340 (49.0) |
| Less than once every semester | 362 (15.7) | 586 (20.5) | 264 (14.4) | 282 (25.2) | 257 (55.3) | 81 (28.1) | 1832 (20.7) |
| No follow-up | 47 (2.0) | 47 (1.6) | 70 (3.8) | 12 (1.1) | 108 (23.2) | 156 (54.2) | 440 (5.0) |
| Consultations with a nephrologist | |||||||
| At least once every semester | 1125 (48.9) | 2388 (83.7) | 296 (16.2) | 563 (50.2) | 12 (2.6) | 19 (6.6) | 4403 (49.7) |
| Less than once every semester | 797 (34.7) | 390 (13.7) | 953 (52.1) | 272 (24.3) | 91 (19.6) | 14 (4.9) | 2517 (28.4) |
| No follow-up | 377 (16.4) | 75 (2.6) | 581 (31.7) | 286 (25.5) | 362 (77.8) | 255 (88.5) | 1936 (21.9) |
| Creatinine monitoring | |||||||
| At least 1 test per semester | 2235 (97.2) | 2770 (97.1) | 1122 (61.3) | 853 (76.1) | 31 (6.7) | 7 (2.4) | 7018 (79.2) |
| Gap of at least 1 semester after 1 test | 64 (2.8) | 82 (2.9) | 700 (38.3) | 265 (23.6) | 13 (2.8) | 6 (2.1) | 1130 (12.8) |
| Only ≥1 test in the last 3 mo before dialysis | 0 (0) | 1 (0.0) | 8 (0.4) | 2 (0.2) | 421 (90.5) | 0 (0) | 432 (4.9) |
| No testing | 0 (0) | 0 (0) | 0 (0) | 1 (0.1) | 0 (0) | 275 (95.5) | 276 (3.1) |
| Number of hospital stays (<24 h)a | |||||||
| 0 | 838 (36.5) | 1378 (48.3) | 1237 (67.6) | 734 (65.5) | 360 (77.4) | 236 (81.9) | 4783 (54.0) |
| 1 | 500 (21.7) | 730 (25.6) | 392 (21.4) | 230 (20.5) | 54 (11.6) | 31 (10.8) | 1937 (21.9) |
| ≥2 | 961 (41.8) | 745 (26.1) | 201 (11.0) | 157 (14.0) | 51 (11.0) | 21 (7.3) | 2136 (24.1) |
| Number of hospital stays (≥24 h) unrelated to nephrology | |||||||
| 0 | 750 (32.6) | 2298 (80.5) | 982 (53.7) | 1121 (100) | 389 (83.7) | 243 (84.4) | 5783 (65.3) |
| 1 | 570 (24.8) | 460 (16.1) | 650 (35.5) | 0 (0) | 49 (10.5) | 16 (5.6) | 1745 (19.7) |
| ≥2 | 979 (42.6) | 95 (3.3) | 198 (10.8) | 0 (0) | 27 (5.8) | 29 (10.1) | 1328 (15.0) |
| Number of hospital stays (≥24h) related to nephrology a | |||||||
| 0 | 87 (3.8) | 937 (32.8) | 319 (17.4) | 1121 (100) | 235 (50.5) | 288 (100) | 2987 (33.7) |
| 1 | 112 (4.9) | 1225 (42.9) | 715 (39.1) | 0 (0) | 176 (37.8) | 0 (0) | 2228 (25.2) |
| ≥2 | 2100 (91.3) | 691 (24.2) | 796 (43.5) | 0 (0) | 54 (11.6) | 0 (0) | 3641 (41.1) |
| Days spent in hospital | |||||||
| 0 | 0 (0) | 0 (0) | 0 (0) | 1121 (100) | 172 (37.0) | 243 (84.4) | 1522 (17.2) |
| ≥1 and ≤10 | 28 (1.2) | 2172 (76.1) | 603 (33.0) | 0 (0) | 188 (40.4) | 32 (11.1) | 3035 (34.3) |
| ≥11 and ≤31 | 671 (29.2) | 669 (23.4) | 1107 (60.5) | 0 (0) | 74 (15.9) | 11 (3.8) | 2533 (28.6) |
| >31 | 1600 (69.6) | 12 (0.4) | 120 (6.6) | 0 (0) | 31 (6.7) | 2 (0.7) | 1766 (19.9) |
| RRT preparation type | |||||||
| Fistula or peritoneal dialysis catheter | 1096 (47.7) | 2415 (84.6) | 554 (30.3) | 310 (27.7) | 76 (16.3) | 0 (0) | 4451 (50.3) |
| Other dialysis preparation care | 303 (13.2) | 93 (3.3) | 77 (4.2) | 59 (5.3) | 36 (7.7) | 2 (0.7) | 570 (6.4) |
| No preparation | 900 (39.1) | 345 (12.1) | 1199 (65.5) | 752 (67.1) | 353 (75.9) | 286 (99.3) | 3835 (43.3) |
GP, general practitioner; RRT, renal replacement therapy.
Values are n (%) unless otherwise noted.
a
Excluding hospital stays for dialysis preparation care;