Kazes Isabelle, Moranne Olivier, Lassalle Mathilde
Coordination régionale Champagne-Ardenne, CHU Reims, France
Hôpital universitaire de Nîmes, Caremau, Nîmes, UMR INSERM-UM, Institut Desbrest d’épidémiologie et santé publique (IDESP), Campus Santé, 641 avenue du Doyen-Gaston-Giraud, 34093 Montpellier, France
Nephrol Ther. 2023 Aug 28;18(S2):46-49. doi: 10.1016/S1769-7255(22)00567-3.
On the occasion of the 20th anniversary of the REIN (French Renal Epidemiology and Information Network), a summary work on the contributions of the national French ESKD register was carried out. On the issue of its role in practices evaluation, the following key messages were retained. The evaluation of our practices allows improving them as proposed by the concept of the Edward Deming wheel (Plan, Do, Check, Act). Measurement also allows setting goals and targets. Where there are recommendations available, the REIN indicators allow comparison with the identified targets. The REIN registry is an interesting tool to observe the deployment and impact of the recommendations in dialysis units and to evaluate the professional practices taking into account the patients’ characteristics and the changes in the recommendations. Finally, the treatment indicators analysed using REIN data show the great diversity of practices from one region to another, the result of habits, training of nephrologists, the history of the care offered and sometimes the geography of the region and its population.
在法国肾脏流行病学和信息网络（REIN）成立20周年之际，对法国国家终末期肾病登记处的贡献进行了一项总结工作。关于其在实践评估中的作用问题，保留了以下关键信息。对我们的实践进行评估有助于按照爱德华·戴明循环（计划、执行、检查、行动）的概念对其进行改进。衡量还能设定目标和指标。在有可用建议的情况下，REIN指标可用于与确定的目标进行比较。REIN登记处是一个有趣的工具，可用于观察透析单位中建议的实施情况和影响，并在考虑患者特征和建议变化的情况下评估专业实践。最后，使用REIN数据进行分析的治疗指标显示，不同地区的实践存在很大差异，这是习惯、肾病学家培训、所提供护理的历史以及有时是地区地理位置及其人口等因素造成的。
