None listed
Conditions
Brief summary
The key clinical and psychosocial outcomes of our current, physician-led, multi-disciplinary CKD clinic (M-DCKD clinic) can be sustained by transitioning to a nurse-led, multi-disciplinary CKD clinic. Furthermore, while CKD patients will be reviewed once in the nephrologist-led clinic compared with 2 times in the nurse-led clinic, we propose that the nurse-led M-DCKD will be more economically viable. Aim: To test the above hypothesis in a randomised controlled trial of stage IV-V CKD patients attending a single physician-led multidisciplinary team outpatient clinic compared with attending multiple visits at a nurse-led multi-disciplinary team outpatient clinic. The key clinical outcomes are derived from clinical key performance indicators as well as psychosocial and economic analyses.
Interventions
Nurse-led multidisciplinary Chronic Kidney Disease outpatient clinic
A Nurse practitioner will coordinate the clinic, review patients and refer to other members of the multidisciplinary team as appropriate. Patients will follow a nurse-implemented, nephrologist-endorsed clinical pathway addressing key performance indicators.
Patients will be reviewed in the nurse led clinic at baseline and 6 months post baseline. Additionally, the Nurse Practitioner will contact the patient by 'phone at 3 and
Nurse-led multidisciplinary Chronic Kidney Disease outpatient clinic A Nurse practitioner will coordinate the clinic, review patients and refer to other members of the multidisciplinary team as appropriate. Patients will follow a nurse-implemented, nephrologist-endorsed clinical pathway addressing key performance indicators. Patients will be reviewed in the nurse led clinic at baseline and 6 months post baseline. Additionally, the Nurse Practitioner will contact the patient by 'phone at 3 and 9 months post baseline. A written record of each visit will be sent to the patient's own nephrologist &/or GP.
Sponsors
State Health Research Advisory Council
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients with Chronic Kidney Disease Stage IV & V attending Sir Charles Gairdner Hospital CKD OP clinic
Exclusion criteria
Patients who are likely, in the opinion of the investigator, to commence renal replacement therapy within 3 months of screening visit
Outcome results
None listed