Patient INformation About Options for Treatment - PINOT

NCT01298115 | Completed

• 1 other identifier: RM-1/09
• Study Type: observational
• Target: 721
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective observational study is designed to find out what treatment options new patients with chronic kidney disease learn about from their renal unit. Aims: To determine the proportion of new CKD patients who receive information about treatment options prior to commencing dialysis, pre-emptive transplantation or conservative management. To determine the timing (i.e. patient's stage of disease) when information is given. To find out whether patients have a friend or family member with them when information is given. Research Design and methods: This study is an assessment of CKD education practices. Nephrologists and pre-dialysis coordinators from each renal unit will complete questionnaires about information that was given to each new dialysis, pre-emptive transplant or conservatively managed patient that started treatment during a 3 month period. Study hypothesis: Approximately one third of CKD patients will receive information after starting treatment. There will be a positive association between in-centre haemodialysis and later referral, non-English speaking background, and advancing age. Significance: The results from this national audit will provide Australian nephrologists and renal nurses with evidence about CKD education practices and compliance with clinical practice guidelines. The results may highlight opportunities for improvement in practice.

Conditions

Chronic Kidney Disease

Keywords

chronic kidney disease; dialysis; pre dialysis education; transplantation; conservative care

Outcome Measures

Primary Outcomes (1)

• Proportion of incident Stage 5 CKD patients who receive information about their treatment options prior to commencing treatment

  Time prior to commencement of treatment. eg. 3 months

Secondary Outcomes (2)

• Stage of CKD (based on eGFR) when information about treatment options is first given

  one time point prior to commencement of treatment

• Patient and unit characteristics associated with commencing renal replacement therapy versus conservative care

  One time point based on commencement date of first treatment

Study Arms (1)

Stage 5 chronic kidney disease

Incident patients commencing renal replacement therapy or conservative care

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adults and children with chronic kidney disease attending renal treatment centres in Australian public hospitals and private practices.

You may qualify if:

• Patients attending Australian adult or pediatric renal units
• Patients with Stage 5 chronic kidney disease commencing dialysis or having a pre-emptive transplant or with decision made for conservative care and eGFR \< 15ml/min/1.73m2 between 1st July and 30th September 2009

You may not qualify if:

• Patients with acute kidney injury not requiring chronic renal replacement therapy
• Patients with a failing kidney transplant returning to dialysis

Sponsors & Collaborators

• University of Sydney: lead
• National Health and Medical Research Council, Australia: collaborator
• Sydney South West Area Health Service: collaborator
• South West Sydney Local Health District: collaborator

Study Sites (1)

University of Sydney

Sydney, New South Wales, 2006, Australia

Location

Related Publications (2)

• Morton RL, Howard K, Webster AC, Snelling P. Patient information about options for treatment: Methods of a national audit of information provision in chronic kidney disease. Nephrology (Carlton). 2010 Sep;15(6):649-52. doi: 10.1111/j.1440-1797.2010.01340.x.

  PMID: 20931747 BACKGROUND

• Morton RL, Howard K, Webster AC, Snelling P. Patient INformation about Options for Treatment (PINOT): a prospective national study of information given to incident CKD Stage 5 patients. Nephrol Dial Transplant. 2011 Apr;26(4):1266-74. doi: 10.1093/ndt/gfq555. Epub 2010 Sep 6.

  PMID: 20819955 RESULT

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Kirsten Howard, PhD

  University of Sydney

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: February 15, 2011
• First Posted: February 17, 2011
• Study Start: July 1, 2009
• Primary Completion: December 1, 2009
• Study Completion: December 1, 2010
• Last Updated: February 17, 2011

Record last verified: 2011-02

Locations

AU (1)