Nephrologie & therapeutique最新文献

Quality of life for dialysis patients: Projects and tools for care teams (DialiCare) 透析患者的生活质量：护理团队的项目和工具（DialiCare）

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Nephrologie & therapeutique Pub Date : 2025-10-02 DOI: 10.1684/ndt.2025.133

Pierre-Antoine Michel

{"title":"Quality of life for dialysis patients: Projects and tools for care teams (DialiCare)","authors":"Pierre-Antoine Michel","doi":"10.1684/ndt.2025.133","DOIUrl":"https://doi.org/10.1684/ndt.2025.133","url":null,"abstract":"Chronic kidney disease and dialysis have a major impact on patients’ quality of life, affecting their physical, psychological, and social well-being. The DialiCare project, conducted in partnership with an industry stakeholder and health care professionals involved in dialysis care, aims to address these challenges through a collaborative, patient-centered approach.\u0000Structured in two phases, the project first identified the priority needs of patients and health care professionals through surveys and regional working groups. Various project proposals were then submitted to a jury made up of a patient association (France Rein), two professional associations (ANFIPA and AFIDTN), and health care professionals who had participated in the initiative. Three projects were selected. The second phase led to the cocreation of three innovative educational tools: the “Roue du prurit” (Itch Wheel), the “Évadez-vous” (“Escape”) project designed to help patients envision themselves engaging in enjoyable activities, and the “Comment se sentent nos patients” (“How Our Patients Feel”) project, a placemat designed to help patients express their emotions and experiences. These tools aim to improve communication between caregivers and patients, objectify symptoms, and promote patient autonomy.\u0000The DialiCare project illustrates the importance of a participatory approach in developing concrete solutions tailored to real-world conditions and capable of sustainably improving the quality of life for dialysis patients.","PeriodicalId":94153,"journal":{"name":"Nephrologie & therapeutique","volume":"21 S2","pages":"5-10"},"PeriodicalIF":0.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Chronic kidney disease: Integrating the patient’s voice into clinical decision-making 慢性肾病：将患者的声音融入临床决策

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Nephrologie & therapeutique Pub Date : 2025-10-02 DOI: 10.1684/ndt.2025.136

Luc Frimat

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The care pathway for patients with chronic kidney disease: The essential coordination between community health care professionals and care facilities 慢性肾病患者的护理途径：社区卫生保健专业人员和护理机构之间的必要协调

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Nephrologie & therapeutique Pub Date : 2025-10-02 DOI: 10.1684/ndt.2025.143

Ludivine Videloup, Clémence Bechade, Sarah Brionne

{"title":"The care pathway for patients with chronic kidney disease: The essential coordination between community health care professionals and care facilities","authors":"Ludivine Videloup, Clémence Bechade, Sarah Brionne","doi":"10.1684/ndt.2025.143","DOIUrl":"https://doi.org/10.1684/ndt.2025.143","url":null,"abstract":"Chronic kidney disease (CKD) is a major public health issue, affecting around 10% of the world’s population. Its silent progression and its numerous etiologies (most commonly diabetes and vascular nephropathies) complicate early detection and management. Many patients reach kidney failure without prior nephrological care. Coordination between outpatient care (GPs, pharmacists, nurses) and specialist facilities is therefore essential to improve screening, delay the progression to dialysis, and improve patients’ quality of life.\u0000The CKD package, introduced in 2019, provides financial support to health care facilities with the aim of facilitating a multidisciplinary approach before end-stage renal diseases. It promotes a patient-centered approach, including nephrologists, nurses, dieticians, psychologists, etc. Community health care professionals play a crucial role in identifying and referring patients to specialists. Coordination with nephrologists means faster diagnosis and better support.\u0000Advanced practice nurses and nurse coordinators play a structuring role in personalized monitoring. Digital tools, remote monitoring, and artificial intelligence offer new ways for optimizing patient care.\u0000Finally, the general public’s persistent lack of knowledge about CKD calls for enhanced information campaigns. The aim of all these initiatives is to build a more fluid, anticipated, and personalized care pathway, centered on the patient’s quality of life.","PeriodicalId":94153,"journal":{"name":"Nephrologie & therapeutique","volume":"21 S2","pages":"11-17"},"PeriodicalIF":0.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Towards personalized care for a better quality of life for patients with chronic kidney disease 为改善慢性肾脏疾病患者的生活质量而进行个性化护理

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Nephrologie & therapeutique Pub Date : 2025-10-02 DOI: 10.1684/ndt.2025.141

Pierre Bataille, Gabriel Choukroun, Luc Frimat

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Green nephrology: Assessment, prospects and practical applications 绿色肾脏病学：评估、展望与实际应用

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Nephrologie & therapeutique Pub Date : 2025-10-02 DOI: 10.1684/ndt.2025.135

Maryvonne Hourmant, Hafsah Hachad

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Practice survey on tunneled dialysis catheter placement by nephrologists in France 法国肾科医师对隧道式透析置管的实践调查

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Nephrologie & therapeutique Pub Date : 2025-09-30 DOI: 10.1684/ndt.2025.142

Jonathan Nicolas

{"title":"Practice survey on tunneled dialysis catheter placement by nephrologists in France","authors":"Jonathan Nicolas","doi":"10.1684/ndt.2025.142","DOIUrl":"https://doi.org/10.1684/ndt.2025.142","url":null,"abstract":"Introduction: Renal replacement therapy (RRT) ensures the survival of patients with end-stage renal disease. It requires vascular access, such as an arteriovenous fistula or a tunneled central venous catheter. Catheters are inserted by different specialists using different techniques.Materials and methods: We conducted a practice survey on tunneled catheter placement in France developed by the French Intensive Renal Network (FIRN) commission. A comprehensive questionnaire was distributed via social networks to all dialysis centers in France.Results: Given the low response rate from other facilities, only responses from university hospitals were analyzed. Tunneled catheters are inserted by nephrologists in 68% of French university hospitals, of which only 20% use fluoroscopy for right jugular and femoral placement, and 40% for left jugular placement. The procedure is most often performed outside the operating room, in a dedicated room. Of the centers studied, 19% use antibiotic prophylaxis. The average time to insertion is around 48 hours for nephrologists, compared to 1 to 2 weeks for other specialists. Serious complications are rare but do occur and can be life-threatening. Anticoagulation and dual antiplatelet therapy are discontinued for this procedure. A few centers use tunneled catheters in acute renal failure and for plasma exchange.Conclusion: Our survey shows that nephrologists place tunneled dialysis catheters in the majority of French university hospitals, enabling rapid access to the procedure. This procedure is often performed without fluoroscopy but under ultrasound guidance. Fluoroscopy remains the gold standard. Echocardiography, being less invasive than fluoroscopy, could improve guidance and enable early diagnosis of serious complications. The rest of the survey presents the various types of practices observed and could serve as a basis for developing best practice recommendations.","PeriodicalId":94153,"journal":{"name":"Nephrologie & therapeutique","volume":"21 4","pages":"221-228"},"PeriodicalIF":0.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Posters commentés 海报的欧美

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Nephrologie & therapeutique Pub Date : 2025-09-30 DOI: 10.1684/ndt.2025.138

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Once upon a time in nephrology - Episode 2: A brief history of creatinine measurement 曾几何时在肾脏病-第2集：肌酐测量的简史

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Nephrologie & therapeutique Pub Date : 2025-09-30 DOI: 10.1684/ndt.2025.139

Pierre Delanaye, Jean-François Focant, Christophe Mariat, Joris Delanghe, Étienne Cavalier

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The complexity of the decision-making process from dialysis withdrawal to death 从停止透析到死亡的决策过程的复杂性

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Nephrologie & therapeutique Pub Date : 2025-09-30 DOI: 10.1684/ndt.2025.130

Sandrine Letrecher, Angélique Thuillier

{"title":"The complexity of the decision-making process from dialysis withdrawal to death","authors":"Sandrine Letrecher, Angélique Thuillier","doi":"10.1684/ndt.2025.130","DOIUrl":"https://doi.org/10.1684/ndt.2025.130","url":null,"abstract":"The working group of the Francophone Society of Nephrology, Dialysis, and Transplantation (SFNDT) recently published a guide for the reasoned adaptation of therapies (ART) in nephrology, which takes up the legal framework of the Claeys–Leonetti Law (2016) and highlights the specificities of palliative care in the context of a long-term chronic illness. In this literature review—drawing from both medical research and the humanities and social sciences—we offer a complementary perspective on the complex decision-making process from dialysis withdrawal to death (DWD), in the sense of sociologist and philosopher Edgard Morin’s concept of complex thought. Quantitative studies, both national and international, highlight the role of cultural differences between countries as well as the influence of legal frameworks on DWD, but other factors are also at play. Patient characteristics associated with DWD as well as differences in regional practices are identified. Qualitative studies and research in the humanities and social sciences further explore the experiences of caregivers, marked by uncertainty and complexity, as decisions unfold among patients, families or caregivers, and health care professionals. This literature review serves as a foundation for an ongoing mixed methods study on the variability of DWD practices in France.","PeriodicalId":94153,"journal":{"name":"Nephrologie & therapeutique","volume":"21 4","pages":"248-255"},"PeriodicalIF":0.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Nutritional management of CKD patients: Perspectives from French nephrologists and dietitians 慢性肾病患者的营养管理：来自法国肾病学家和营养师的观点

IF 0.7

Nephrologie & therapeutique Pub Date : 2025-09-30 DOI: 10.1684/ndt.2025.144

Stanislas Trolonge, Hugo Bakis, Mathilde Prezelin-Reydit

{"title":"Nutritional management of CKD patients: Perspectives from French nephrologists and dietitians","authors":"Stanislas Trolonge, Hugo Bakis, Mathilde Prezelin-Reydit","doi":"10.1684/ndt.2025.144","DOIUrl":"https://doi.org/10.1684/ndt.2025.144","url":null,"abstract":"Background: Nutritional recommendations exist in France for patients with chronic kidney disease (CKD) to help slow its progression. However, how health care professionals (HCPs) perceive and implement these recommendations is unknown at the national level.Objective: This study aimed to document the practices and perceptions of HCPs providing nutritional care to patients with CKD.Methods: In September 2024, two anonymous online questionnaires were distributed: one to approximately 1400 nephrologists via the Société francophone de néphrologie, dialyse et transplantation (Francophone Society of Nephrology, Dialysis and Transplantation), and the other to approximately 165 dietitians via the Association des diététiciens de néphrologie et nutrition (Association of Nephrology and Nutrition Dietitians). Data collected included respondent characteristics, training in renal nutrition, use of low-protein diets (LPDs), perceived effectiveness and patient adherence, as well as perceived barriers.Results: A total of 178 nephrologists (19% trained in renal nutrition) and 127 dietitians (59% trained) responded. Between 50% and 75% considered LPDs to be effective. These diets were mainly prescribed to patients with stage 3 to 5 CKD, perceived as motivated and aware of the importance of slowing CKD progression. According to HCPs, about half of patients initiate an LPD, but only 15% to 30% of HCPs believe that as many as half of these patients actually achieve protein intake targets. The main barriers identified were difficulty in changing dietary habits, lack of understanding, concerns about impacting household routines, lack of educational resources, and the absence of reimbursement for specialized products.Conclusion: HCPs acknowledge the value of LPDs in the nutritional management of CKD, but several barriers hinder their broader implementation and effectiveness.","PeriodicalId":94153,"journal":{"name":"Nephrologie & therapeutique","volume":"21 4","pages":"209-220"},"PeriodicalIF":0.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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