Healthy Transitions in Late Stage Kidney Disease

Not Applicable

Completed

• Conditions: Chronic Kidney Disease
• Interventions: Other: Education; Other: Daily weight measurement and monitoring; Other: Universal Dietary education; Other: Medication review; Other: Focused advanced directive program; Other: Countdown to fistula program

• Registration Number: NCT02085837
• Lead Sponsor: Northwell Health

Brief Summary

Improve health and outcome for people with late stage chronic kidney disease by providing patient centered nursing services in addition to a Nephrologist's routine patient care.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-10
• Study First Submitted: 2014-03-07
• Study First Submitted QC: 2014-03-07
• Study First Posted: 2014-03-13
• Primary Completion: 2014-07
• Study Completion: 2016-01
• Status Verified: 2017-01
• Last Update Submitted: 2017-01-03
• Last Update Posted: 2017-01-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 130

Inclusion Criteria

• Stage 4-5 Chronic Kidney Disease (CKD), defined as estimated glomerular filtration rate (eGFR) between 0-30 ml/minute
• 18 years of age or older

Exclusion Criteria

• Cognitive impairment that is clinically apparent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Healthy Transitions Group	Education	* Additional nursing services will be provided to this group in addition to a usual care by Nephrologist. * Daily weight measurement and monitoring * Medication review * Universal dietary education * Focused advanced directive program * Countdown to fistula program
Healthy Transitions Group	Medication review	* Additional nursing services will be provided to this group in addition to a usual care by Nephrologist. * Daily weight measurement and monitoring * Medication review * Universal dietary education * Focused advanced directive program * Countdown to fistula program
Healthy Transitions Group	Daily weight measurement and monitoring	* Additional nursing services will be provided to this group in addition to a usual care by Nephrologist. * Daily weight measurement and monitoring * Medication review * Universal dietary education * Focused advanced directive program * Countdown to fistula program
Healthy Transitions Group	Focused advanced directive program	* Additional nursing services will be provided to this group in addition to a usual care by Nephrologist. * Daily weight measurement and monitoring * Medication review * Universal dietary education * Focused advanced directive program * Countdown to fistula program
Healthy Transitions Group	Universal Dietary education	* Additional nursing services will be provided to this group in addition to a usual care by Nephrologist. * Daily weight measurement and monitoring * Medication review * Universal dietary education * Focused advanced directive program * Countdown to fistula program
Healthy Transitions Group	Countdown to fistula program	* Additional nursing services will be provided to this group in addition to a usual care by Nephrologist. * Daily weight measurement and monitoring * Medication review * Universal dietary education * Focused advanced directive program * Countdown to fistula program

Primary Outcome Measures

Name	Time	Method
Hospitalization rate	18 months	Reduction in hospitalization rate in intervention group as compare to control group.

Secondary Outcome Measures

Name	Time	Method
Improve hemodialysis access rates	18 months	Percentage of patients with AVF, AVG or catheters
Home dialysis	18 months	Increase choice of home dialysis as modality of treatment

Trial Locations

Locations (1)

Division of Kidney diseases and Hypertension; 🇺🇸 Great Neck, New York, United States