Chronic Kidney Disease Clinical Trial
Official title:
Patient Information About Options for Treatment of Stage 5 Chronic Kidney Disease
This prospective observational study is designed to find out what treatment options new
patients with chronic kidney disease learn about from their renal unit.
Aims: To determine the proportion of new CKD patients who receive information about
treatment options prior to commencing dialysis, pre−emptive transplantation or conservative
management. To determine the timing (i.e. patient's stage of disease) when information is
given. To find out whether patients have a friend or family member with them when
information is given.
Research Design and methods: This study is an assessment of CKD education practices.
Nephrologists and pre−dialysis coordinators from each renal unit will complete
questionnaires about information that was given to each new dialysis, pre−emptive transplant
or conservatively managed patient that started treatment during a 3 month period.
Study hypothesis: Approximately one third of CKD patients will receive information after
starting treatment. There will be a positive association between in−centre haemodialysis and
later referral, non−English speaking background, and advancing age. Significance: The
results from this national audit will provide Australian nephrologists and renal nurses with
evidence about CKD education practices and compliance with clinical practice guidelines. The
results may highlight opportunities for improvement in practice.
Additional research objectives and key research questions:
1. To determine the proportion of patients who receive information about: pre−emptive
transplantation; peritoneal dialysis; home haemodialysis; centre based haemodialysis;
supported non−dialytic care or conservative management.
3. To determine the proportion of incident patients that have a non−English speaking
background (NESB) requiring an interpreter or translated materials.
4. To examine associations between age, gender, health insurance status, NESB, CKD stage and
information provided on initial treatment commenced.
5. To determine the proportion of patients who choose not to dialyse.
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Observational Model: Case-Only, Time Perspective: Prospective
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