Improving Medical Decision Making for Older Patients With End Stage Renal Disease

Running, not enrolling · Not applicable

Conditions studied: Renal Disease, End Stage, Palliative Care, Decision Aids

In brief

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 a multi-center randomized trial of an advance care planning (ACP) video intervention (vs. usual care) among older patients with CKD.

Key facts

Study ID

NCT04347629

Run by

Tufts Medical Center

People needed

456

Starts

2021-06-21

Expected to finish

2027-05-31

Last updated by the study team

2026-03-17

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

• 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

Where it is running

• VA Palo Alto Health Care System — Palo Alto, California, United States
• Stanford University — Palo Alto, California, United States
• Brigham & Women's Hospital — Boston, Massachusetts, United States
• Massachusetts General Hospital — Boston, Massachusetts, United States
• Boston Medical Center — Boston, Massachusetts, United States
• Renal and Transplant Associates of New England, PC — Springfield, Massachusetts, United States
• The University of New Mexico Health Sciences Center — Albuquerque, New Mexico, United States
• University of Pennsylvania — Philadelphia, Pennsylvania, United States
• University of Washington — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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