Effects of a Transitional Palliative Care Model on Patients With End-stage Renal Failure

NCT02139917 | Completed DMC

• 1 other identifier: 23 January 2014
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

Primary aim:

1. 1.To compare the effects of customary care and an interventional Home-based Palliative Renal Program (HBPRP) for ESRF patients
2. 2.To compare the effects of customary care and Home-based Palliative Program (HBPP) for ESRF patients
3. 3.To explore the lived experiences of patients with ESRF. Hypothesis The transitional renal palliative care model is associated with decreased in unscheduled hospital readmission, reduce length of stay as well as improved quality of life for patients with end-stage renal failure.

Conditions

Palliative Care; Renal Failure, End-stage

Keywords

transitional palliative care; end stage renal failure

Outcome Measures

Primary Outcomes (1)

• Healthcare utilization composite - The dates of re-hospitalizations, length of stay, and number of other hospital services used, including clinics and emergency room visits, will be extracted from the hospital administrative systems.

  for 12 months

Secondary Outcomes (1)

• Evaluated health outcomes composite (functional status, symptom intensity) - The functional status will be measured by the Palliative Performance Scale (PPS )(appendix 6).

  12 months

Other Outcomes (1)

• Perceived outcomes composite (quality of life, caregiver burden, satisfaction with care)

  12 months

Study Arms (2)

Transitional Palliative Care

EXPERIMENTAL

Transitional palliative care include:- * telephone follow up for early identification of signs and symptoms * home visit for spiritual support

Behavioral: Transitional community based palliative care

Customary care

NO INTERVENTION

Customary care receive care :- * hospital based medical follow up * general nursing assessment and advice

Interventions

Transitional community based palliative care BEHAVIORAL

transitional palliative care include:- * telephone follow up for early identification of signs and symptoms * relief of signs and symptoms encountered * home visit with spiritual support

Also known as: Transitional palliative care

Transitional Palliative Care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient with chronic kidney disease and diabetic mellitus with Creatinine ≥350 milli mole (uM) or those without diabetic mellitus with Creatinine ≥450 milli mole (uM) who refused renal replacement therapy (RRT);
• Patient not suitable for long term renal replacement therapy (RRT) after assessment by renal team (e.g. multiple co morbidities, poor functional status and social support)
• Identified as ESRF patient eligible for palliative care without prior renal replacement therapy
• Ability to speak Cantonese
• Living within the hospital service area
• Ability to be contacted by phone

You may not qualify if:

• Discharged to nursing home or other institution
• Inability to communicate
• Cognitive impairment, mini mental stage examination (MMSE) \< 20
• Diagnosed with severe psychiatric disorders such as schizophrenia and bipolar disorder

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead
• Hospital Authority, Hong Kong: collaborator

Study Sites (1)

Queen Elizabeth Hospital

Hong Kong, Hong Kong SAR, 852, Hong Kong

Location

MeSH Terms

Conditions

Kidney Failure, Chronic; 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 Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Associate

Study Record Dates

• First Submitted: May 5, 2014
• First Posted: May 16, 2014
• Study Start: August 1, 2014
• Primary Completion: September 1, 2017
• Study Completion: November 1, 2018
• Last Updated: March 22, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)