Chronic Kidney Disease Guideline Adherence - a Cluster Randomized Controlled Quality Improvement Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 781
- 试验地点
- 1
- 主要终点
- PTH (Parathyroid Hormone) Adherence
研究概览
简要总结
Chronic kidney disease (CKD) is defined as kidney damage for greater than 3 months or a glomerular filtration rate less than 60 mL/min per 1.73m2 for greater than 3 months. Patients with CKD are at high risk for development of cardiovascular disease and metabolic complications. Guidelines for the care of patients with CKD have been developed by the National Kidney Foundation. Despite the wide availability of these guidelines, adherence is low. The goal of the current study is to evaluate whether a multifactorial intervention, including a CKD registry, will improve CKD guideline adherence. The hypothesis is that providers exposed to a multifactorial clinical intervention including education, academic detailing, and a CKD registry will be more likely to adhere to CKD guidelines than those only exposed to education.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion Criteria:
- •All primary care providers at the Wade Park Veterans Affairs Medical Center (VAMC) will be eligible for the study
- •Inclusion Criteria:
- •Receive primary care from a provider at the Wade Park VAMC
- •CKD as defined by an estimated glomerular filtration rate (eGFR) less than 60 on two separate occasions 90 to 730 days apart,
- •diabetes, OR
- •hypertension
排除标准
- •End-stage renal disease
- •Renal transplant recipients
- •Less than 18 years of age on July 1, 2009
- •No primary care visit between Jan 1, 2008 and July 1, 2009
结局指标
主要结局
PTH (Parathyroid Hormone) Adherence
时间窗: One year
Probability for having a PTH measured during the study period comparing intervention vs control clinic during the study period as estimated by Generalized Estimating Equation (determines probability, not proportion). Participants assigned 1 if PTH was measured and 0 if PTH was not measured during the study period.
次要结局
- Last Clinic BP <130/80 mmHg(One year)
研究者
Paul Drawz
Senior Instructor
Louis Stokes VA Medical Center