Testing a new stepwise strategy for the management of renal anaemia

Completed

Conditions: Topic: Primary Care
Subtopic: Other Primary Care
Disease: All Diseases
Haematological Disorders

Registration Number: ISRCTN72491207

Lead Sponsor: Guildford and Waverley CCG

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 24

Inclusion Criteria

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)

Exclusion Criteria

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).