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Master Thesis

Sources d’informations pour l’adaptation des traitements médicamenteux chez les patients atteints d’une maladie rénale chronique : état des lieux des pratiques et difficultés des médecins généralistes savoyards

Abstract : Context: Chronic Kidney Disease (CKD) is a frequent pathology and a public health issue in France. Iatrogeny is a serious concern in the medical care of these patients, that every general practitionner (GP) may frequently encounter. Objective: The main objective of this study was to describe the sources of information used by GP for drug dosage adjustment according to renal function. Their practices and difficulties in this field were also studied. Methods : We have performed a descriptive cross-sectional study using a questionnaire that was sent between March and July 2017 to every GP in Savoie (France). Results: Eighty five answers were collected, of which eighty fitted for analyzis. The main source of information used was the Vidal (78,8%). The Base Claude Bernard (20%) and the nephrologist (16,3%) were then cited. 96,3% of the GPs encountered difficulties with drug prescription in patients with impaired renal function, even for frequently used drugs. Conclusion: Despite multiple sources of information, drug dosage adjustment according to the renal function remains a frequent problem for GP. Its improvement will go through better medical education and information, and through the optimization of prescribing assistance.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01695301
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Submitted on : Monday, January 29, 2018 - 11:04:58 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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Laure Pajean. Sources d’informations pour l’adaptation des traitements médicamenteux chez les patients atteints d’une maladie rénale chronique : état des lieux des pratiques et difficultés des médecins généralistes savoyards. Médecine humaine et pathologie. 2018. ⟨dumas-01695301⟩

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