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OpenTrials
Completed

NCT Number: NCT02085837

Healthy Transitions in Late Stage Kidney Disease

Improve health and outcome for people with late stage chronic kidney disease by providing patient centered nursing services in addition to a Nephrologist's routine patient care.

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Key information

Conditions

Chronic Kidney Disease Chronic Disease Disease Attributes Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Kidney Diseases Male Urogenital Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Renal Insufficiency Renal Insufficiency, Chronic Urogenital Diseases Urologic Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Division of Kidney diseases and Hypertension

Great Neck, New York, 11021, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Stage 4-5 Chronic Kidney Disease (CKD), defined as estimated glomerular filtration rate (eGFR) between 0-30 ml/minute
  • 18 years of age or older

Exclusion criteria

  • Cognitive impairment that is clinically apparent

Treatment and study plan

Education

Other

Additional education will be provided by nurses to improve communication and reduce fragmentation of care.

Daily weight measurement and monitoring

Other

Monitor weight to avoid problems related to hypervolemia.

Universal Dietary education

Other

To improve diet and health

Medication review

Other

Medication will be reviewed by nurses to detect any discrepancies to reduce medication error.

Focused advanced directive program

Other

Education will be provided to increase awareness and encourage patients to have advanced directive.

Countdown to fistula program

Other

To reduce the number of patients starting dialysis with catheter in place, comprehensive stepwise intervention will be provided by nurses to ensure arterio-venous (AV) fistula placement in all appropriate patients, with coordinated follow up and failure recovery processes.

Primary outcomes

  1. Hospitalization rate

    Time frame: 18 months

    Reduction in hospitalization rate in intervention group as compare to control group.

Secondary outcomes

  1. Improve hemodialysis access rates

    Time frame: 18 months

    Percentage of patients with AVF, AVG or catheters

  2. Home dialysis

    Time frame: 18 months

    Increase choice of home dialysis as modality of treatment

Sponsors and collaborators

Lead sponsor

Northwell Health

Other

Registry information

Official study title

An Open Label Randomized Controlled Study to Compare the Impact of Patient Centered Nursing Services in Addition to a Nephrologist's Usual Patient Care With Usual Nephrologist's Care in Late Stage Chronic Kidney Disease Patients.

Important dates

Study start
2013
Primary completion
2014
Study completion
2016
First posted
Mar 13, 2014
Registry last updated
Jan 5, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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