Chronic Kidney Disease (CKD) Kidney Disease
Conditions
Interventions
The intervention group receives (besides the care as usual) a self-management
care model consisting of
self-monitoring sodium intake, keeping dietary
diaries, receiving feedback, two motivational interviews and, if necessary,
tailored self-management modules
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Informed Consent - Treated by an internist - Age above 18 years - Chronic kidney disease with a creatinin clearance of 20 ml/min/1.73m2 or above - a recent blood pressure higher than 135/85 mmHg or use of antihypertensive medication (at least 1 RAAS inhibitor) - Proteinuria above 0,2 g/L or above 0,3 g/24 u - Last 2 urine sodium measurements higher than 120 mmol/24 uur - Speaking fluently Dutch
Exclusion criteria
Exclusion criteria: - Blood pressure above 180/100 mmHg or below 125/75 mmHg - Diabetes Mellitus Type I patients - Renal transplant less than one year ago - Acute renal failure - Rapidly decrease of kidney function (decrease more than 6ml/min/1.73m2 in last year) - A myocard infarction or cerebrovasculair accident less then 6 months ago - Malignancy less than five years before inclusion (other than basocellular or squamous cell carcinoma of the skin) - Participating in other clinical trials requiring the use of study medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in sodium intake and changes in blood pressure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Renal function (creatinine clearance), proteinuria, albuminuria, urinemarkers for tubulo-interstiele damage (KIM-1, NGAL en UMOD), antihypertensive medication and psychological outcome measures. | — |
Countries
Netherlands
Outcome results
None listed