Overview

This trial is active, not recruiting.

Condition chronic kidney disease
Treatment ckd feedback and tools
Sponsor Sunnybrook Health Sciences Centre
Collaborator Ontario Renal Network
Start date October 2014
End date April 2017
Trial size 221 participants
Trial identifier NCT02274298, 074-2013-2

Summary

This pragmatic cluster randomized controlled trial will test the impact of feedback and a toolkit aimed at improving the management of chronic kidney disease (CKD) in the primary care setting. This trial will use family physicians in Ontario participating in the Electronic.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Masking open label
Primary purpose prevention
Arm
(Active Comparator)
Physicians in these clinics/clusters will receive feedback on their performance for screening and managing CKD quality indicators as well as EMR tools to aid in their performance
ckd feedback and tools
people in the intervention arm will receive feedback on ckd quality indicators and tools to help in the detection and management of ckd
(No Intervention)
Physicians in these clinics/clusters will not receive CKD feedback or tools

Primary Outcomes

Measure
Proportion of patients age 50-80 with Stage 3+ CKD and a statin prescription
time frame: 24 months

Secondary Outcomes

Measure
Proportion of patients at high risk screened for CKD with an eGFR and/or ACR
time frame: 24 months
Proportion of patients with an initial eGFR <60 and a f/u eGFR or an ACR
time frame: 24 months
Proportion of patients with diabetes and albuminuria and on an ACE or ARB
time frame: 24 months
Proportion of patients meeting eGFR criteria for CKD and documentation of CKD in the cumulative patient profile (CPP)
time frame: 24 months
Proportion of patients with an ACR in the past 18 months and meeting bp targets
time frame: 24 months
Proportion of patients age less than 80 years and an eGFR<30 being seen by or with a referral to a Nephrologist
time frame: 24 months

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria: - Family physicians participating in EMRALD, on the EMR for >=2 years, roster size >=100 patients - Patient criteria, rostered and actively seeing an EMRALD physician, on the EMR for .=1 year Exclusion Criteria: - Updated data available at the time of study commencement

Additional Information

Official title Improving Care for Patients With Chronic Kidney Disease Using Electronic Medical Record Interventions: A Pragmatic Cluster Randomized Trial
Principal investigator Karen Tu, MD, MSc
Description This trial will use family physicians in Ontario participating in the Electronic Medical Record Administrative data Linked Database (EMRALD) and receiving the System for Audit and Feedback to Improve caRE (SAFIRE) along with other decision support tools. Performance on CKD quality indicators for family physicians receiving the CKD feedback and tools will be compared to physicians not receiving the CKD feedback or tools.
Trial information was received from ClinicalTrials.gov and was last updated in October 2016.
Information provided to ClinicalTrials.gov by Sunnybrook Health Sciences Centre.