Publications by authors named "M Raffray"

Diabetes care in Canada is compromised by the lack of resources to adequately address the mental health challenges associated with both type 1 and type 2 diabetes. To address this gap Breakthrough T1D (formerly JDRF) Canada and Diabetes Canada developed a bilingual training program, and associated directory listing successful graduates, to educate and empower existing mental health providers to better provide services to those living with diabetes. This paper reports on the development and initial outcomes of this virtual training program.

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  • The study aimed to estimate the prevalence of chronic kidney disease (CKD) in France using the RENALGO-EXPERT algorithm, focusing on healthcare consumption data from the French National Health claims database between 2018 and 2021.
  • The results showed an increase in estimated CKD prevalence from 8.1% to 10.5% over the years, with the algorithm having a low positive predictive value (6.2%) and a high negative predictive value (99.1%).
  • The findings highlight that while the algorithm can help identify CKD patients in typical care pathways, it has limitations in accurately detecting undiagnosed or early-stage patients, indicating a need for more comprehensive assessment methods
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  • * It analyzes data from 8,856 patients, finding that both men and women had similar rates of consultations and hospitalizations, but women consulted psychiatrists more often while men faced more hospitalizations for circulatory diseases.
  • * Emergency dialysis start rates were equal at 30% for both sexes, with differences noted in the types of nephropathy associated with emergency starts, particularly highlighting that women had a greater likelihood of starting dialysis due to acute nephropathy.
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Few studies investigated sex-related differences in care consumption after dialysis initiation. Therefore, the aim of this study was to compare the care trajectory in the first year after dialysis start between men and women by taking into account the context of dialysis initiation. All patients who started dialysis in France in 2015 were included.

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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 patients’ perspectives, the following key messages were retained. As shown by the SONG (Standardised Outcomes in Nephrology) initiative, the criteria for judging the dialysis treatment that patients and care-givers prefer are not those that are traditionally found in published studies.

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