An exploratory study to determine the effectiveness of a chronic kidney disease (CKD) nurse working with general practitioners (GP) versus usual care with nephrologists in the comprehensive care of stable Stage 3-4 CKD patients in the Eastern Health Integrated Renal Service

Chronic kidney disease (CKD) patient outcomes from a CKD nurse led clinic versus usual care nephrologist clinic

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12611000313932

Enrollment

Registered

2011-03-24

Start date

2011-08-26

Completion date

2014-05-16

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The diagnosis of chronic kidney disease (CKD) is on the increase due to the rising incidence of diabetes, high blood pressure and obesity, leading to an increased demand on the healthcare system. Currently, the management of a patient with chronic kidney disease involves 3 - 4monthly review with a kidney specialist. However, we are aware that nurses play a vital role in the management of patients with chronic kidney disease and studies in Canada and South Australia have demonstrated that the regular monitoring of these patients can be safely managed by a nurse who specialises in this area. The nurse discusses the investigation results and patients’ ongoing management with a kidney specialist and liaises with the family doctor. Patients allocated to the CKD nurse group will be seen at the renal clinic by a CKD nurse every 3-4months for a period of 2 years.

Interventions

Currently stage 3-4 CKD patients attend a renal clinic to see a nephrologist every 3-4 months. Patients allocated to the intervention group will attend a renal clinic and be seen by a CKD nurse. The clinic will be held at the same time as the current renal clinic and enrolled patients will be seen one on one by a CKD nurse. Each clinic visit will take 30minutes. Patients will be seen by the CKD nurse once every 3-4months for a period of 2 years.

Study design

Allocation

Randomised controlled trial

Primary purpose

Educational / counselling / training

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

1) Male and female patients aged over 18 years 2) a) eGFR 25-59ml/min with decline in eGFR of no more than 10% per year over the last 2 years based on pathology results, if available b) Patients aged >=75 years who are opting for conservative management (i.e. not for dialysis) with eGFR as low as 20ml/min can be included

Exclusion criteria

1) rapidly deteriorating renal function such as patients with active vasculitis 2) pregnant patients 3) unable to give consent because of dementia or language barrier 4) active malignancy

Outcome results