Chronic Kidney Disease Clinical Trial
Official title:
Improving Outcomes in Peritoneal Dialysis: Identification and Characterization of Optimal Clinical Practice to Enhance Peritoneal Dialysis Catheter Functionality, Minimize Access-related Complications and Promote Peritoneal Dialysis as an Initiating Therapeutic Modality for Chronic Kidney Disease.
The objective is to understand the best way to place Peritoneal Dialysis (PD) catheters, and
the best way to collect data regarding their function in England, Wales and Northern
Ireland.
Phase 1: We will carry out a detailed examination of existing returned pilot data with
emphasis on data fields with poor data completeness and perform root cause analysis, and
assess deficiencies in data field definition to identify improvements to be implemented. We
will construct and disseminate electronic survey material to all study centres with targeted
visits by the Principle Investigator undertaken. These visits will facilitate insight into
local organization of data collection including interaction with designated individuals
responsible for data returns. PD training days will be organized with emphasis on clinical
practice feedback utilizing data acquired in the initial phases. Hospital Episode Statistics
will be linked to existing acquired PD patient information to ensure the accuracy of
collected data. An online data acquisition system will be developed to allow direct data
entry from centres.
Phase 2: On-going and sustained data acquisition performed on a prospective basis.
Phase 3: Primary data analysis including clinical practice variation in England, Wales and
Northern Ireland to identify site specific PD catheter functionality variation.
Additionally, patient and site specific characteristics that predict clinical outcomes in PD
will be identified and characterised.
Phase 4: Clinical guidelines will be developed.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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