Chronic Kidney Diseases
Conditions
Brief summary
The purpose of this study is to investigate the communication and data sharing between the primary care physician and the nephrologist about patients with chronic kidney disease. Also therapeutic interventions that change behavior and telemonitoring of the blood pressure will be explored and compared to the usual care. The most important aim of this study is to improve the quality of care for the patient with chronic kidney disease in cooperation with the primary care physician and the nephrologist.
Detailed description
Through questionnaires with primary care physicians, nephrologists from the University Hospitals of Leuven and patients with chronic kidney disease, the problems will be known. After the exploration there will be an intervention with patients who meet the in- and exclusion criteria. Around 150-200 patients will be included with a 1:2 randomisation in the control and intervention group. The relevant clinical data and the factors of lifestyle will be questioned at the baseline. The intervention group will receive individualized therapy by a nurse, for example to quit smoking, to eat healthier and to do more physical activities. This therapy is based on the most important risk factors and will be determined before the start of the therapy. Further on, these patients will also be motivated to take their blood pressure more frequently by using a telemonitoring system.
Interventions
BEHAVIORALLifestyle counseling
Lifestyle counseling of modifiable risk factors of chronic kidney disease: telemonitoring of blood pressure, counseling for smoking cessation, losing weight and increasing the physical activity.
Sponsors
Universitaire Ziekenhuizen KU Leuven
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Predialysis, hemodialysis, peritoneal dialysis, transplantation * Included in the care program of chronic kidney diseases * Dutch-speaking * Signed and approved informed consent
Exclusion criteria
* No Dutch-speaking * Impaired cognitive condition or medically unstable
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| smoking cessation | one year | percentage of smoking cessation. |
| lipid control | one year | LDL in mmol/l |
| blood pressure under control | one year | percentage of patients with blood pressure within target limits |
| BMI change | one year | BMI change in kg/m² |
| change in Estimated Glomerular Filtration Rate (eGFR) | one year | Estimated Glomerular Filtration Rate (eGFR) in mL/min/1.73m² |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Relevant clinical data: systolic and diastolic blood pressure | one year | Improved or stable clinical data that are taken at the consultation of nephrology (systolic and diastolic blood pressure). |
| Communication between primary care physicians and the nephrologists. | 6 months | Improved communication between primary care physicians and nephrologists measured by a questionnaire. |
Countries
Belgium
Outcome results
None listed