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Clinical Trials/ACTRN12624000452594
ACTRN12624000452594RecruitingUnknown

Chronic Kidney Disease stewardship: a prospective cohort study to compare the outcomes of an early case detection program with usual care, for hospitalised patients with mid to late stage CKD.

Canterbury Hospital, Sydney Local Health District0 sites1,000 target enrollmentStarted: April 12, 2024Last updated:
Conditions

Trial Snapshot

Phase
Unknown
Status
Recruiting
Sponsor
Enrollment
1,000

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional
Allocation
Non-randomised trial
Primary Purpose
Diagnosis
Masking
Open (masking not used)

Eligibility Criteria

Ages
18 Years to 80 Years (—)
Sex
All

Inclusion Criteria

  • 1.Any patient admitted to a public hospital under a medical, psychiatry
  • or surgical team between March 1 2024 - March 1 2025
  • 2.Disease status: eGFR <45ml/min on first available admission

Exclusion Criteria

  • Participants who:
  • 1. Are pregnant
  • 2. Have been seen by a nephrologist as an outpatient in the previous 12 months, as documented or referred to in the electronic medical record.
  • 3. Have been seen by a nephrologist, or will be seen by a nephrologist as an inpatient during the incident admission.
  • 4. Have a clear acute kidney injury (any eGFR >60ml/min in the past 3 months or >90ml/min in the past 6 months, or recover to a GFR >60ml/min during the period of enrolment.
  • 5. Are from or being discharged to a high level care residential aged care facility
  • 6. Have advanced dementia documented in the electronic medical record at any time
  • 7. Are admitted under, or being reviewed by a palliative care physician for any reason, or receiving treatment with palliative intent.
  • 8. Have been deemed not clinically appropriate for the intervention by a nephrologist due to poor prognosis or very advanced and complex comorbidities which make the benefit of CKD Stewardship very unlikely
  • 8. Have died

Investigators

Sponsor
Canterbury Hospital, Sydney Local Health District

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