Trial Outcomes & Findings for Effect of the Teleconsultation of Renal Nutrition on Renal Function and Glycemic Control in Patients With DKD (NCT NCT03344549)

NCT ID: NCT03344549

Last Updated: 2024-09-23

Results Overview

Determination of glycated hemoglobin (HbA1c) levels at the beginning and end of the nutritional intervention through teleconsultation and face-to-face consultation offered monthly for 4 months.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

53 participants

Primary outcome timeframe

Baseline and at 4 month

Results posted on

2024-09-23

Participant Flow

Participant milestones

Participant milestones
Measure
Teleconsultation
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic). Renal nutrition teleconsultation: Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Face-to-face Consultation
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution. Face-to-face consultation of renal nutrition: Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Overall Study
STARTED
26
27
Overall Study
COMPLETED
19
12
Overall Study
NOT COMPLETED
7
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Teleconsultation
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic). Renal nutrition teleconsultation: Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Face-to-face Consultation
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution. Face-to-face consultation of renal nutrition: Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Overall Study
Withdrawal by Subject
3
2
Overall Study
Dialysis
2
0
Overall Study
Cancer
1
0
Overall Study
Lack of electronic device
1
0
Overall Study
Transportation difficulty
0
13

Baseline Characteristics

Only participants who completed the intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Teleconsultation
n=26 Participants
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic). Renal nutrition teleconsultation: Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Face-to-face Consultation
n=27 Participants
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution. Face-to-face consultation of renal nutrition: Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Total
n=53 Participants
Total of all reporting groups
Age, Continuous
63.12 years
STANDARD_DEVIATION 12.05 • n=26 Participants
64.15 years
STANDARD_DEVIATION 11.71 • n=27 Participants
63.13 years
STANDARD_DEVIATION 11.8 • n=53 Participants
Sex: Female, Male
Female
18 Participants
n=26 Participants
12 Participants
n=27 Participants
30 Participants
n=53 Participants
Sex: Female, Male
Male
8 Participants
n=26 Participants
15 Participants
n=27 Participants
23 Participants
n=53 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
26 Participants
n=26 Participants
27 Participants
n=27 Participants
53 Participants
n=53 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=53 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=53 Participants
Duration of diabetes
16.08 years
STANDARD_DEVIATION 8.52 • n=26 Participants
21.3 years
STANDARD_DEVIATION 9.57 • n=27 Participants
18.5 years
STANDARD_DEVIATION 9.3 • n=53 Participants
Arterial hypertension
26 Participants
n=26 Participants
24 Participants
n=27 Participants
50 Participants
n=53 Participants
Systolic blood pressure
136.68 mm Hg
STANDARD_DEVIATION 25.07 • n=26 Participants
140.86 mm Hg
STANDARD_DEVIATION 26.29 • n=27 Participants
138.77 mm Hg
STANDARD_DEVIATION 25.68 • n=53 Participants
Level of education
Incompleted elementary school
14 Participants
n=26 Participants
10 Participants
n=27 Participants
24 Participants
n=53 Participants
Level of education
Completed elementary school
4 Participants
n=26 Participants
7 Participants
n=27 Participants
11 Participants
n=53 Participants
Level of education
Incompleted high school
6 Participants
n=26 Participants
6 Participants
n=27 Participants
12 Participants
n=53 Participants
Level of education
High school or more
2 Participants
n=26 Participants
4 Participants
n=27 Participants
6 Participants
n=53 Participants
Access to smartphone
26 Participants
n=26 Participants
26 Participants
n=27 Participants
52 Participants
n=53 Participants
Access to computer
8 Participants
n=26 Participants
7 Participants
n=27 Participants
15 Participants
n=53 Participants
Hemoglobin A1c
8.2 percentage of Hemoglobin A1c
STANDARD_DEVIATION 2.23 • n=19 Participants • Only participants who completed the intervention
7.37 percentage of Hemoglobin A1c
STANDARD_DEVIATION 1.41 • n=12 Participants • Only participants who completed the intervention
7.86 percentage of Hemoglobin A1c
STANDARD_DEVIATION 1.82 • n=31 Participants • Only participants who completed the intervention
Glycemic control
14 Participants
n=26 Participants
20 Participants
n=27 Participants
34 Participants
n=53 Participants
Glomerular filtration rate
32.66 ml/min/1.73 m^2
STANDARD_DEVIATION 12.28 • n=19 Participants • Participants who completed the intervention
28.28 ml/min/1.73 m^2
STANDARD_DEVIATION 10.56 • n=12 Participants • Participants who completed the intervention
30.97 ml/min/1.73 m^2
STANDARD_DEVIATION 11.42 • n=31 Participants • Participants who completed the intervention

PRIMARY outcome

Timeframe: Baseline and at 4 month

Determination of glycated hemoglobin (HbA1c) levels at the beginning and end of the nutritional intervention through teleconsultation and face-to-face consultation offered monthly for 4 months.

Outcome measures

Outcome measures
Measure
Teleconsultation
n=19 Participants
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic). Renal nutrition teleconsultation: Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Face-to-face Consultation
n=12 Participants
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution. Face-to-face consultation of renal nutrition: Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Glycemic Control
7.4 percentage of HbA1c
Standard Deviation 1.83
7.35 percentage of HbA1c
Standard Deviation 2.25

PRIMARY outcome

Timeframe: Baseline and at 4 month

Determination of the estimated glomerular filtration rate (eGFR), at the end of the nutritional intervention through teleconsultation and face-to-face consultation offered monthly for 4 months.

Outcome measures

Outcome measures
Measure
Teleconsultation
n=19 Participants
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic). Renal nutrition teleconsultation: Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Face-to-face Consultation
n=12 Participants
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution. Face-to-face consultation of renal nutrition: Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Renal Function
34.45 ml/min/1.73 m^2
Standard Deviation 14.7
36.19 ml/min/1.73 m^2
Standard Deviation 27.61

SECONDARY outcome

Timeframe: Baseline and at 5 month

To know the adherence to the level of compliance was assessed using a self-reported Likert scale in both study groups. Being the score 10 = good adherence and the score 1 = poor adherence to treatment.

Outcome measures

Outcome measures
Measure
Teleconsultation
n=19 Participants
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic). Renal nutrition teleconsultation: Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Face-to-face Consultation
n=12 Participants
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution. Face-to-face consultation of renal nutrition: Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Number of Participants With Adherence to Treatment
5 to 6 Likert scale
0 Participants
2 Participants
Number of Participants With Adherence to Treatment
7 to 8 Likert scale
15 Participants
7 Participants
Number of Participants With Adherence to Treatment
9 to 10 Likert scale
4 Participants
3 Participants

Adverse Events

Teleconsultation

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Face-to-face Consultation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Teleconsultation
n=19 participants at risk
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic). Renal nutrition teleconsultation: Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
Face-to-face Consultation
n=12 participants at risk
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution. Face-to-face consultation of renal nutrition: Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
General disorders
Cancer
5.3%
1/19 • Number of events 1 • 4 months
0.00%
0/12 • 4 months

Other adverse events

Adverse event data not reported

Additional Information

Ari Cisneros Hernández

University of Colima

Phone: 3335762299

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place