Chronic Kidney Disease (CKD) Guideline Adherence

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

781 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-06-30

Brief Summary

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Chronic kidney disease (CKD) is defined as kidney damage for greater than 3 months or a glomerular filtration rate less than 60 mL/min per 1.73m2 for greater than 3 months. Patients with CKD are at high risk for development of cardiovascular disease and metabolic complications. Guidelines for the care of patients with CKD have been developed by the National Kidney Foundation. Despite the wide availability of these guidelines, adherence is low. The goal of the current study is to evaluate whether a multifactorial intervention, including a CKD registry, will improve CKD guideline adherence. The hypothesis is that providers exposed to a multifactorial clinical intervention including education, academic detailing, and a CKD registry will be more likely to adhere to CKD guidelines than those only exposed to education.

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Detailed Description

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Conditions

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Chronic Renal Insufficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Multifactorial intervention

The multifactorial intervention will consist of a CKD lecture, the CKD reference card, academic detailing, and access to the CKD registry.

Group Type EXPERIMENTAL

Multifactorial intervention

Intervention Type BEHAVIORAL

Providers in the intervention group will receive a lecture on CKD, a CKD reference card, academic detailing (residents only), and access to the CKD registry.

Education only

Providers in the education only arm will receive a CKD lecture and be given a CKD reference card.

Group Type ACTIVE_COMPARATOR

Education only

Intervention Type BEHAVIORAL

The education will consist of a lecture and distribution of a CKD reference card.

Interventions

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Education only

The education will consist of a lecture and distribution of a CKD reference card.

Intervention Type BEHAVIORAL

Multifactorial intervention

Providers in the intervention group will receive a lecture on CKD, a CKD reference card, academic detailing (residents only), and access to the CKD registry.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All primary care providers at the Wade Park Veterans Affairs Medical Center (VAMC) will be eligible for the study

Patients:

* Receive primary care from a provider at the Wade Park VAMC
* Have:

* CKD as defined by an estimated glomerular filtration rate (eGFR) less than 60 on two separate occasions 90 to 730 days apart,
* diabetes, OR
* hypertension

Exclusion Criteria

* End-stage renal disease
* Renal transplant recipients
* Less than 18 years of age on July 1, 2009
* No primary care visit between Jan 1, 2008 and July 1, 2009

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No