Status:
COMPLETED
Kidney Coordinated Health Management Partnership
Lead Sponsor:
University of Pittsburgh
Collaborating Sponsors:
Vanderbilt University Medical Center
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Conditions:
Chronic Kidney Diseases
Eligibility:
All Genders
18-85 years
Phase:
NA
Brief Summary
As part of a 42-month pragmatic, cluster randomized trial in 1,650 primary care patients with high-risk Chronic Kidney Disease (CKD), the investigators will test the effectiveness of a multifaceted El...
Detailed Description
To test the effectiveness of a multifaceted Electronic Health Record (EHR)-based Population Health Management (PHM) intervention to improve the delivery of evidence-based Chronic Kidney Disease (CKD) ...
Eligibility Criteria
Inclusion
- Inclusion criteria for PCPs: presence of an ambulatory continuity clinic in the University of Pittsburgh Medical Center (UPMC) community medicine practice.
- Inclusion criteria for patients:
- age greater than or equal to 18, and less than or equal to 85
- most recent eGFR less than 60 ml/min/yr
- established care with UPMC PCP
- high risk CKD based on validated external and internal risk prediction models or severe reduction in eGFR, or substantial loss in eGFR in prior 18 months.
- Exclusion Criteria for PCPs: none
- Exclusion Criteria for patients:
- history of kidney transplant
- receiving maintenance dialysis
- recent (within 12 months) outpatient nephrology visit
- baseline eGFR less than 15ml/min
- expected survival less than 6 months or hospice enrollee (e.g., stage IV heart failure, metastatic cancer, oxygen dependent Chronic Obstructive Pulmonary Disease)
Exclusion
Key Trial Info
Start Date :
May 1 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 31 2023
Estimated Enrollment :
1596 Patients enrolled
Trial Details
Trial ID
NCT03832595
Start Date
May 1 2019
End Date
July 31 2023
Last Update
August 22 2025
Active Locations (1)
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1
UPMC Presbyterian
Pittsburgh, Pennsylvania, United States, 15213