Improving Care for Patients With Chronic Kidney Disease Using Electronic Medical Record Interventions: A Pragmatic Cluster Randomized Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Kidney Disease
- Sponsor
- Sunnybrook Health Sciences Centre
- Enrollment
- 221
- Primary Endpoint
- Proportion of patients age 50-80 with Stage 3+ CKD and a statin prescription
- Last Updated
- 9 years ago
Overview
Brief Summary
This pragmatic cluster randomized controlled trial will test the impact of feedback and a toolkit aimed at improving the management of chronic kidney disease (CKD) in the primary care setting. This trial will use family physicians in Ontario participating in the Electronic.
Detailed Description
This trial will use family physicians in Ontario participating in the Electronic Medical Record Administrative data Linked Database (EMRALD) and receiving the System for Audit and Feedback to Improve caRE (SAFIRE) along with other decision support tools. Performance on CKD quality indicators for family physicians receiving the CKD feedback and tools will be compared to physicians not receiving the CKD feedback or tools.
Investigators
Dr. Karen Tu
Senior Scientist
Sunnybrook Health Sciences Centre
Eligibility Criteria
Inclusion Criteria
- •Family physicians participating in EMRALD, on the EMR for \>=2 years, roster size \>=100 patients
- •Patient criteria, rostered and actively seeing an EMRALD physician, on the EMR for .=1 year
Exclusion Criteria
- •Updated data available at the time of study commencement
Outcomes
Primary Outcomes
Proportion of patients age 50-80 with Stage 3+ CKD and a statin prescription
Time Frame: 24 months
Comparison of proportion of patients age 50-80 years with Stage 3+ CKD (no dialysis or renal transplant) and receiving a statin prescription at baseline and at the end of the trial
Secondary Outcomes
- Proportion of patients with an initial eGFR <60 and a f/u eGFR or an ACR(24 months)
- Proportion of patients meeting eGFR criteria for CKD and documentation of CKD in the cumulative patient profile (CPP)(24 months)
- Proportion of patients age less than 80 years and an eGFR<30 being seen by or with a referral to a Nephrologist(24 months)
- Proportion of patients at high risk screened for CKD with an eGFR and/or ACR(24 months)
- Proportion of patients with diabetes and albuminuria and on an ACE or ARB(24 months)
- Proportion of patients with an ACR in the past 18 months and meeting bp targets(24 months)