Multifaceted Intervention to Improve Prescribing in Patients With Chronic Kidney Disease
1 other identifier
interventional
N/A
1 country
1
Brief Summary
In 2001, an estimated 1.9 million Canadians had chronic renal disease and the number of patients being treated for end stage renal disease climbed by nearly 20% in 5 years. Many medications commonly used in elderly patients are excreted by the kidney. Failure to adjust doses in those with impaired renal function can result in medication overdose, leading to potentially serious morbidity and mortality. Studies in hospitals and long term care facilities have found a 19-67% rate of non-compliance with guidelines for medication dose adjustment in patients with renal insufficiency and in ambulatory care one study found a 69% rate of non-compliance. Since primary care physicians write 80% of prescriptions for those aged 65 years, there is a need for interventions to improve prescribing to patients with renal impairment in primary care. This study will develop an audit tool and electronic decision support tool that will be incorporated into the electronic medical record in a large academic family health centre. It is seen as a preliminary step in a project to assess the effectiveness of a multifaceted intervention including chart audit, personalized feedback to prescribers, a pharmacist-facilitated group learning session and the use of an electronic decision support tool incorporated into the electronic medical record.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Mar 2007
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2007
CompletedFirst Submitted
Initial submission to the registry
March 9, 2007
CompletedFirst Posted
Study publicly available on registry
March 13, 2007
CompletedMarch 13, 2007
March 1, 2007
March 9, 2007
March 9, 2007
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary outcome will be a change in the number of appropriately written prescriptions for the targeted medications 3 and 6 months after the educational intervention and introduction of the clinical decision support tool.
Secondary Outcomes (2)
Prescribers' perception of their knowledge of and comfort with adjusting doses of medications as measured in a Likert scale and their assessement of the ease of use of the decision support tool
, cost savings, time for prescribers to use the decision support tool, number of times the decision support tool was used.
Interventions
Eligibility Criteria
You may qualify if:
- Patients 65 years or older who have been prescribed one or more of the targeted medications and who have a creatinine from within the previous year on record will be included.
You may not qualify if:
- Patients on dialysis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Stonechurch Family Health Centre
Hamilton, Ontario, L8W 3J6, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Imaan Bayoumi
McMaster University
- PRINCIPAL INVESTIGATOR
Lisa McCarthy
McMaster University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 9, 2007
First Posted
March 13, 2007
Study Start
March 1, 2007
Study Completion
March 1, 2007
Last Updated
March 13, 2007
Record last verified: 2007-03