Status:
COMPLETED
Shared Decision Making in Dialysis
Lead Sponsor:
University of Rochester
Collaborating Sponsors:
National Institutes of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Conditions:
End Stage Renal Disease
Chronic Kidney Diseases
Eligibility:
All Genders
65+ years
Phase:
NA
Brief Summary
Older patients ≥65 years with chronic kidney disease (CKD) face challenges in decision making about dialysis. These patients report little effort by physicians to elicit treatment preferences, discuss...
Eligibility Criteria
Inclusion
- For nephrologist:
- Member of Strong nephrology group working at Strong Memorial Hospital
- Treat patients with CKD
- For patients:
- Age ≥65 years old
- Presence of advanced CKD stage 4 or 5 (i.e. e GFR ≤ 20 ml/min)
- Patient's nephrologist is enrolled in the study, and has seen that nephrologist at least once
- Speaks English
- Have not attended a dialysis education class or met with the dialysis education coordinator.
- Have not made a dialysis decision
- For Caregivers:
- Self-identified caregiver (per definition:"family member, partner, friend or someone else who is involved with your health care issues, for example, someone who you talk to about personal issues including medical decisions or who comes to doctor appointments with you. This person may also help with routine day-to-day activities, like transportation or paperwork.")
- 21 years of age or older.
Exclusion
- For Nephrologists:
- \- Expecting to leave in six months.
- For Patients:
- Patient has already been seen by a palliative care clinician or is enrolled in hospice
- Is already on dialysis
- Hospitalized at the time of recruitment
- Cognitive impairment
- Does not speak English
- For Caregivers:
- If Support is offered primarily in a professional role (e.g., clergy).
- Cognitive impairment
Key Trial Info
Start Date :
February 28 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 14 2024
Estimated Enrollment :
107 Patients enrolled
Trial Details
Trial ID
NCT04392440
Start Date
February 28 2022
End Date
May 14 2024
Last Update
June 6 2024
Active Locations (1)
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1
University of Rochester
Rochester, New York, United States, 14642