Testing a new stepwise strategy for the management of renal anaemia in primary care: an exploratory cluster randomised trial

Guildford and Waverley CCG0 个研究点目标入组 24 人开始时间: 2015年1月29日最近更新: 2015年7月6日

试验速览

暂无简介。

•Phase 1: In-depth discussion
•Practitioners and patients from four GP practices will be invited to take part in the in-depth discussions. These four GP practices will be purposefully selected on the following criteria:
•1. Achievement of Quality Outcome Framework (QOF) points for CKD
•2. At least the national average of people aged over 65 years (as CKD particularly affects older people)
•Phase 2: Clustered Randomised Trial
•Practice level:
•1. GP Practices should be computerised and have had the same computer system for at least 3 years; they should have had laboratory-links (ensuring completeness of pathology results) for this period; and a practice computer system using 5-byte Read codes (commonest used in UK), or Clinical Terms Version 3 (CTv3).
•2. Practices have space for the review clinic and consent to participate.
•Patient level:
•1. Adult patients registered with participating practices with CKD (stage 3 and 4) and anaemia (Hb=11g/dl), who are not under the care of a renal physician, and without an obvious other cause for their anaemia (i.e. overt cause of blood loss)

•Practice level:
•1. Practices with plans to change computer systems during the proposed 3-year study
•2. Practices involved in the in-depth group discussions at Phase 1 will be excluded from taking part in Phase 2.
•Patient level:
•1. Patient under 18 years of age
•2. Those unable to consent
•3. Those receiving dialysis or who have had a renal transplant
•4. Those with previous adverse reaction to iron
•5. Those currently or previously treated with erythropoietin
•6. Those who have expressed a wish to opt out of sharing electronic records to their GP (identifiable by the present of an 'Optout Read codes’: 93C1, or 'Refused consent for upload to local shared electronic record': 9Nd1 in the GP information systems).

发起方

Guildford and Waverley CCG