Pilot Study of Health Information Technology for Chronic Kidney Disease Management
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Renal Impairment / Chronic Kidney Disease |
| Therapuetic Areas: | Nephrology / Urology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 9/27/2018 |
| Start Date: | December 2015 |
| End Date: | January 2019 |
Researchers now know that treating chronic kidney disease (CKD) in its early stages can
prevent dialysis and reduce heart problems that go along with kidney disease. Computerized
tools may help primary care doctors to diagnose the disease earlier and computer reminders
may help doctors to prescribe the best treatments. In this project the investigators will
test computer reminders in primary care clinics to see if they improve treatment of early
chronic kidney disease and to see if it can promote referral to nephrology.
prevent dialysis and reduce heart problems that go along with kidney disease. Computerized
tools may help primary care doctors to diagnose the disease earlier and computer reminders
may help doctors to prescribe the best treatments. In this project the investigators will
test computer reminders in primary care clinics to see if they improve treatment of early
chronic kidney disease and to see if it can promote referral to nephrology.
The investigators are conducting a randomized trial to determine the effect of a health
information technology (HIT) application to calculate risk progression of end stage renal
disease (ESRD). The primary outcome is the completion of the necessary tests for the risk
prediction model (urine albumin to creatinine ratio, serum calcium, serum phosphate, serum
albumin, and serum bicarbonate) for CKD patients in primary care. Secondary outcomes will
include nephrology referrals, doubling of serum creatinine, initiation of hemodialysis, and
primary care provider (PCP) satisfaction. In the analysis, all patients over the age of 18
who have a visit with one of physicians involved in the trial during the intervention period
will be eligible and patients with stage 3-5 CKD will be included. Physicians are the
subjects in this study, as the intervention is a behavioral intervention for physicians. The
physicians' patients will not actively be recruited and will only indirectly be affected by
the study. The application creates blocks of patient appointments for each physician and
randomly assigns patients to intervention and control arms within these blocks.
information technology (HIT) application to calculate risk progression of end stage renal
disease (ESRD). The primary outcome is the completion of the necessary tests for the risk
prediction model (urine albumin to creatinine ratio, serum calcium, serum phosphate, serum
albumin, and serum bicarbonate) for CKD patients in primary care. Secondary outcomes will
include nephrology referrals, doubling of serum creatinine, initiation of hemodialysis, and
primary care provider (PCP) satisfaction. In the analysis, all patients over the age of 18
who have a visit with one of physicians involved in the trial during the intervention period
will be eligible and patients with stage 3-5 CKD will be included. Physicians are the
subjects in this study, as the intervention is a behavioral intervention for physicians. The
physicians' patients will not actively be recruited and will only indirectly be affected by
the study. The application creates blocks of patient appointments for each physician and
randomly assigns patients to intervention and control arms within these blocks.
Inclusion Criteria:
- patients who are 18 years or older
- patients of primary care providers who are included in the study
- patients with CKD (defined as two estimated glomerular filtration rate (GFR) values
under 60 mL/min per 1.73 m^2 90 days apart)
Exclusion Criteria:
- patients without CKD (defined as two GFR values under 60 mL/min per 1.73 m^2 90 days
apart)
- patients under the age of 18
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