NCT00688285

Brief Summary

To determine whether the use of educational sessions and computerized clinical reminders can improve primary care doctors' delivery of care to CKD patients compared to educational sessions alone. Hypothesis: Clinical reminders will improve the care delivered to CKD patients

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
248

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2008

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 28, 2008

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 2, 2008

Completed
6 months until next milestone

Study Start

First participant enrolled

December 1, 2008

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2009

Completed
Last Updated

March 25, 2011

Status Verified

March 1, 2011

Enrollment Period

1 year

First QC Date

May 28, 2008

Last Update Submit

March 24, 2011

Conditions

Chronic Kidney Disease

Keywords

chronic kidney diseaseclinical alertslate referralelectronic medical recordComputerized clinical decision support systems (CDSS)

Outcome Measures

Primary Outcomes (1)

  • referral to a nephrologist

    Referral to a nephrologist within the 12 months following decision support system activation.

    12 months

Secondary Outcomes (2)

  • Use of ACE/ARB

    12 months

  • Annual ACR or PCR check

    12 months

Study Arms (2)

1

ACTIVE COMPARATOR

education and automated clinical alerts

Other: automated clinical alertsOther: provider education

2

ACTIVE COMPARATOR

education session alone

Other: provider education

Interventions

automated clinical alertsOTHER

automated clinical alerts in the electronic medical record

1
provider educationOTHER

PCP education session on CKD

12

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • For PCPs: all GIM attending physicians with a weekly continuity clinic.
  • For patients: \>= 18 years-old with an eGFR\<45ml/min/1.73m2 being seen in the UPMC GIM clinic by a faculty member during the 10-month intervention period

You may not qualify if:

  • for PCPs: imminent plans to leave the department
  • patients with a renal transplant, on any form of dialysis, or with a previous nephrology evaluation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Pittsburgh

Pittsburgh, Pennsylvania, 15261, United States

Location

Related Publications (1)

  • Abdel-Kader K, Fischer GS, Li J, Moore CG, Hess R, Unruh ML. Automated clinical reminders for primary care providers in the care of CKD: a small cluster-randomized controlled trial. Am J Kidney Dis. 2011 Dec;58(6):894-902. doi: 10.1053/j.ajkd.2011.08.028. Epub 2011 Oct 7.

    PMID: 21982456DERIVED

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Khaled Abdel-Kader, MD

    University of Pittsburgh

    PRINCIPAL INVESTIGATOR

  • Mark Unruh, MD, MSc

    University of Pittsburgh

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

May 28, 2008

First Posted

June 2, 2008

Study Start

December 1, 2008

Primary Completion

December 1, 2009

Study Completion

December 1, 2009

Last Updated

March 25, 2011

Record last verified: 2011-03

Locations

US(1)