Status:
ACTIVE_NOT_RECRUITING
Improving Medical Decision Making for Older Patients With End Stage Renal Disease
Lead Sponsor:
Tufts Medical Center
Collaborating Sponsors:
National Institute on Aging (NIA)
Conditions:
Renal Disease, End Stage
Palliative Care
Eligibility:
All Genders
65+ years
Phase:
NA
Brief Summary
The overall objective of this study is to reduce the burden of chronic kidney disease (CKD) and its consequences for an aging U.S. population. To accomplish this, the investigators propose to conduct ...
Detailed Description
The video intervention consists of a video decision aid along with a video declaration (ViDec), which is recorded by the patient. The video decision aid explores ACP options for medical care for end-s...
Eligibility Criteria
Inclusion
- Patients age ≥70 are eligible if they have EITHER Advanced CKD defined as ONE eGFR value ≤ 30 ml/min/1.73m2 in the past 12 months NOT determined to be a result of AKI OR Have a diagnosis of CKD and less than a two-year prognosis from any cause, defined by the clinician answering "NO" to the Surprise Question ("Would you be surprised if this patients died in the next two years?")
- Patients age 65-69 are eligible if they have BOTH Advanced CKD defined as ONE eGFR value ≤ 30 ml/min/1.73m2 NOT determined to be a result of AKI AND Have less than a two-year prognosis, defined by the clinician answering "NO" to the Surprise Question ("Would you be surprised if this patients died in the next two years?")
- Patients who have not had a nephrology visit in the past 12 months can be recruited from non-Nephrology Clinics per the above eligibility criteria
Exclusion
- listed for kidney transplantation or previous transplant recipient
- already on or previously on dialysis (including emergent dialysis)
- new patient visit
- visually impaired beyond 20/200 corrected
- psychological state not appropriate for ACP discussions as determined by the primary nephrologist
- cognitive impairment
Key Trial Info
Start Date :
June 21 2021
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 31 2026
Estimated Enrollment :
456 Patients enrolled
Trial Details
Trial ID
NCT04347629
Start Date
June 21 2021
End Date
May 31 2026
Last Update
April 27 2025
Active Locations (9)
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1
VA Palo Alto Health Care System
Palo Alto, California, United States, 94034-1290
2
Stanford University
Palo Alto, California, United States, 94034
3
Brigham & Women's Hospital
Boston, Massachusetts, United States, 02115-6110
4
Massachusetts General Hospital
Boston, Massachusetts, United States, 02118-2908