A quality improvement collaborative to scale up shared haemodialysis care for patients on centre based haemodialysis

Not Applicable

Completed

• Conditions: Specialty: Renal disorders, Primary sub-specialty: Renal disorders; UKCRC code/ Disease: Renal and Urogenital/ Renal failure; Urological and Genital Diseases; Renal failure

• Registration Number: ISRCTN93999549
• Lead Sponsor: Sheffield Teaching Hospitals NHS Foundation Trust

Brief Summary

2017 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/29178891 Protocol 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/34283851/ (added 21/07/2021)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-05-02
• Study Completion: 2018-12-31
• Last Update Posted: 26 June 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 596

Inclusion Criteria

1. Established on centre based haemodialysis
2. Capacity to give written informed consent to participate in the study
3. Aged 18 years and over

Exclusion Criteria

1. People who are too unwell to engage in the study, as judged by the clinical team
2. People unable to understand written and verbal communication in English
3. Unable to give informed consent

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Whether or not HD patients can learn and complete 5 or more out of 14 tasks, is collected on paper forms for the 12 participating renal units over three, six-month duration, time periods or steps (Step 1 (baseline): 0 to 6 months, Step 2: 6 to 12 months; Step 3: 12 to 18 months.

Secondary Outcome Measures

Name	Time	Method
1. Number and proportion of HD patients who have Home HD or dialyse in centre independently will be measured by an event driven status change form that will identify when patients commence home haemodialysis and using information from the 3 monthly completed task summary sheets to determine whether patients are dialysing independently at dialysis centres<br>2. Economic evaluation will take an NHS and social care perspective and will compare Shared Haemodialysis Care with usual care in a cost-utility analysis using a cost-per quality adjusted life years (QALYs) approach at endline<br>3. Health related quality of life is assessed using the EQ-5D-5L at baseline, six and 12 months<br>4. Costs of the intervention will be collected throughout the study and will include set-up and running costs such as training, room hire, refreshments, materials, staff time, web site and staff