Improving Screening and Therapy for Hispanic/Latinx at Risk for CKD

Completed

• Conditions: Chronic Kidney Diseases; Type 2 Diabetes
• Interventions: Diagnostic Test: BP; Behavioral: PCP Guidelines for Screening and Monitoring Hispanic/Latinx patients for CKD; Diagnostic Test: HbA1c

• Registration Number: NCT05734989
• Lead Sponsor: Duke University

Brief Summary

In this study, the investigators will utilize community organizations to screen Hispanics/Latino(a)s for kidney disease, diabetes, and other risk factors, and refer them for care with a PCP. Additionally, the investigators will implement an intervention in local health clinics to assist PCPs with screening and treating patients with diabetes.

Completion of the project will hopefully slow progression of kidney disease among Hispanic/Latino(a) patients in Durham, and the information gained will allow the investigators to eventually perform the intervention on a larger scale.

Detailed Description

The goals of this study are to (1) Increase rates of screening and monitoring of CKD and CKD risk factors for Hispanic/Latinx community members in Durham by utilizing existing community resources and screening events and (2) Pilot test a PCP-facing intervention to promote guideline concordant testing and evidence-based therapy provision for Hispanics/Latinx with T2D at community health centers, utilizing clinical champions and pharmacists. The investigators anticipate the study will identify patients with CKD or CKD risk factors and establish feasibility of the pilot intervention, which the investigators plan to ultimately apply on a large scale to reduce inequities and improve clinical outcomes among Hispanics/Latinx.

Study Timeline

• Study First Submitted: 2023-02-09
• Study First Submitted QC: 2023-02-09
• Study First Posted: 2023-02-21
• Study Start: 2023-05-18
• Status Verified: 2025-03
• Primary Completion: 2025-04-04
• Study Completion: 2025-04-04
• Last Update Submitted: 2025-04-16
• Last Update Posted: 2025-04-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 59

Inclusion Criteria

• Age 18 or older at time of screening
• Self-identifying as Hispanic/Latinx ethnicity.

Exclusion Criteria

• Unable to be reached by telephone

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Hispanic/Latinx patients at risk for CKD	BP	Adult patients in the Hispanic/Latinx Durham community screened for CKD
Hispanic/Latinx patients at risk for CKD	HbA1c	Adult patients in the Hispanic/Latinx Durham community screened for CKD
PCPs caring for Hispanic Latinx patients screened for CKD in the Durham Community	PCP Guidelines for Screening and Monitoring Hispanic/Latinx patients for CKD	Primary Care Providers (PCPs) caring for Hispanic Latinx patients who agree to use the study guidelines and interventions for screening and monitoring their patients for CKD.

Primary Outcome Measures

Name	Time	Method
Number of patients referred to PCPs (Primary Care Providers) for CKD screening	3 months from referral	Increase rates of screening and monitoring of Chronic Kidney Disease (CKD) and CKD risk factors for Hispanic/Latinx community members in Durham by utilizing existing community resources and screening events

Trial Locations

Locations (1)

Duke University Medical Center; 🇺🇸 Durham, North Carolina, United States