Preventing Progression of Chronic Kidney Disease in Primary Care: A Quality Improvement Pilot Study Using Specialist Renal Nursing in the Primary Care Setting

Not Applicable

Completed

• Conditions: Proteinuria; Non-adherence; Diabetes; Chronic Kidney Disease; Hypertension; Risk of cardiovascular events; Public Health - Health service research; Renal and Urogenital - Kidney disease; Metabolic and Endocrine - Diabetes

• Registration Number: ACTRN12613000791730
• Lead Sponsor: ew Zealand Ministry of Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-07-16
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

1. Age >= 18 years
2. Diagnosis of type 2 diabetes mellitus
3. Diagnosis of hypertension
3. Proteinuria defined as an albumin to creatinine ratio (ACR) > 30
mg/mmol on at least three occasions separated by at least 1 week
4. At ‘high risk of CKD progression’ as defined by
a) at least 12 months of uncontrolled diabetes, defined as HbA1c consistently >8%, AND/OR
b) at least 12 months of uncontrolled hypertension, defined as BP consistently >140/90 mmHg, AND
c) a history of poor attendance and engagement with their GP (history of unplanned non-attendance of 25% or more of scheduled appointments over the course of 12 months).

Exclusion Criteria

1. CKD due to renal parenchymal disease other than diabetic nephropathy
2. Unsuitable for the intervention in the view of their treating GP
3. Unwilling or unable to provide consent

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Proteinuria (urinary albumin to creatinine ratio, ACR)[12 months]