hypertension, kidney, renovascular, self-management, psychological factors bloeddruk, nieren, zelfmanagement, psyologische factoren
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age at least 18 years; 2. Creatinin clearance between 90 and 20 ml/min/1.73m2; 3. Systolic bloodpressure higher than 135/85 mm Hg or a normal bloodpressure with antihypertensive treatment (at least 1 RAAS blockade); 4. Command of the Dutch language. 5. Proteinuria > 0.2 g/L or 0.3 g/24 h; 6. Last two sodium measurements > 120 mmol/24 h. A creatinine clearance of > 90 ml/min/1.73m2 is allowed if patients are treated for their kidney disease by an internist. The new criterion is ‘a creatinine clearance > 20 ml/min/1.73 m2’ (instead of ‘creatinine clearance between 90 and 20 ml/min/1.73m2’).
Exclusion criteria
Exclusion criteria: 1. Having undergone renal transplantation < 1 year ago 2. Acute renal failure; 3. Diabetes type 1; 5. Rapidly progressive glomerulonephritis; 6. Malignancy less than 5 years before inclusion; 7. A cardiovascular event less than 6 months before inclusion; 8. Participation in other clinical trials in which using medicine is part of the trial procedures; 9. Blood pressure higher than 180/100 mmHg; 10. Blood pressure lower than 125/75 mmHg.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Changes in sodium intake; 2. Changes in blood pressure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Creatinine clearance; 2. Proteinuria/albuminuria; 3. Antihypertensive medication; 4. Psychological outcome measures. | — |
Contacts
Dept. Medical Psychology, Leiden University Medical Center (LUMC) Albinusdreef 2