NCT06410144

Chronic Kidney Disease-Education (CKD-EDU)

Improving Kidney Therapy Decision-Making for Older People With Advanced Chronic Kidney Disease (CKD)

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 326 (estimated)
• Sponsor: University of Rochester · Academic / Other
• Sex: All
• Age: 75 Years
• Healthy volunteers: Not accepted

Summary

The investigators are conducting a study to see which program better helps older patients with kidney disease choose their treatment. Investigators are also investigating if either program can reduce the number of hospital or emergency room visits in the first 6 months of the study, as well as potentially improve end-of-life care for older adults. Half of the participants will receive Program A, while the other half will receive Program B. Investigators will compare the two groups to see which participants feel better prepared about their kidney therapy decisions, experience improved end-of-life care, and have fewer emergency room visits and hospital admissions. Participants in Program A will receive information from the National Kidney Foundation and meet with a kidney therapy educator. Participants in Program B will get information about kidney disease treatment and meet with a decision-support specialist who's an expert in decision-making.

Detailed description

Older adults ≥75 years represent the fastest-growing population to initiate dialysis in the US; despite the life-altering effects of dialysis on quality of life, dialysis is often presented as a default without considering patient preferences, prognosis, and alternative options such as conservative kidney management. This study will test the first palliative care intervention for older patients with advanced chronic kidney disease to improve the kidney therapy decision-making process. This research not only has the potential to help thousands of older patients with advanced chronic kidney disease who often have unanswered questions, unmet information needs, and restricted opportunities to share personal treatment preferences with their nephrologists but also has the possibility of creating new models of collaborative care by integrating palliative care into routine nephrology care.

Conditions

• Chronic Kidney Diseases

Interventions

Type	Name	Description
BEHAVIORAL	Program A	Subjects in the Control group will receive 1) National Kidney Foundation information, and 2) support from a kidney therapy educator.
BEHAVIORAL	Program B	Subjects in the intervention group will receive 1) a video and paper decision aid, and 2) coaching from a decision support specialist. The visits will be aimed at supporting patients with kidney therapy decision-making.

Timeline

• Start date: 2025-02-27
• Primary completion: 2029-05-01
• Completion: 2029-05-01
• First posted: 2024-05-13
• Last updated: 2025-04-03

Locations

5 sites across 1 country: United States