Patient Information About Options for Treatment of Stage 5 Chronic Kidney Disease
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 721
- 试验地点
- 1
- 主要终点
- Proportion of incident Stage 5 CKD patients who receive information about their treatment options prior to commencing treatment
研究概览
简要总结
This prospective observational study is designed to find out what treatment options new patients with chronic kidney disease learn about from their renal unit.
Aims: To determine the proportion of new CKD patients who receive information about treatment options prior to commencing dialysis, pre-emptive transplantation or conservative management. To determine the timing (i.e. patient's stage of disease) when information is given. To find out whether patients have a friend or family member with them when information is given.
Research Design and methods: This study is an assessment of CKD education practices. Nephrologists and pre-dialysis coordinators from each renal unit will complete questionnaires about information that was given to each new dialysis, pre-emptive transplant or conservatively managed patient that started treatment during a 3 month period.
Study hypothesis: Approximately one third of CKD patients will receive information after starting treatment. There will be a positive association between in-centre haemodialysis and later referral, non-English speaking background, and advancing age. Significance: The results from this national audit will provide Australian nephrologists and renal nurses with evidence about CKD education practices and compliance with clinical practice guidelines. The results may highlight opportunities for improvement in practice.
详细描述
Additional research objectives and key research questions:
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To determine the proportion of patients who receive information about: pre-emptive transplantation; peritoneal dialysis; home haemodialysis; centre based haemodialysis; supported non-dialytic care or conservative management.
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To determine the proportion of incident patients that have a non-English speaking background (NESB) requiring an interpreter or translated materials.
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To examine associations between age, gender, health insurance status, NESB, CKD stage and information provided on initial treatment commenced.
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To determine the proportion of patients who choose not to dialyse.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients attending Australian adult or pediatric renal units
- •Patients with Stage 5 chronic kidney disease commencing dialysis or having a pre-emptive transplant or with decision made for conservative care and eGFR < 15ml/min/1.73m2 between 1st July and 30th September 2009
排除标准
- •Patients with acute kidney injury not requiring chronic renal replacement therapy
- •Patients with a failing kidney transplant returning to dialysis
结局指标
主要结局
Proportion of incident Stage 5 CKD patients who receive information about their treatment options prior to commencing treatment
时间窗: Time prior to commencement of treatment. eg. 3 months
次要结局
- Stage of CKD (based on eGFR) when information about treatment options is first given(one time point prior to commencement of treatment)
- Patient and unit characteristics associated with commencing renal replacement therapy versus conservative care(One time point based on commencement date of first treatment)