Chronic Kidney Disease Clinical Trial
Official title:
Patient Information About Options for Treatment (PINOT) Follow up Study: Answering Important Questions in Home Dialysis and Conservative Care.
The primary aims of the Patient INformation about Options for Treatment (PINOT) Follow-up
Study are to determine the proportions of patients, identified in the 2009 PINOT cohort
that:
(i)Made the transition to home dialysis, after an initial start on center-based dialysis.
(ii)Commenced dialysis, or a time-limited trial of dialysis within 3 years, after confirmed
plans for conservative care.
The hypotheses to be tested in the PINOT follow-up study are:
1. 50% of stage 5 chronic kidney disease patients who plan for home dialysis do not
commence home dialysis within 3 years, and instead remain on centre-based
haemodialysis; and,
2. less than 15% of stage 5 chronic kidney disease patients who plan for conservative care
commence dialysis within 3 years.
The secondary aims of the follow-up study include:
(i) To assess the primary reasons patients did not transition to home dialysis, in the
planned home dialysis group.
(ii)To compare 3 and 5 year survival rates among patients who commenced conservative care
and patients who commenced renal replacement therapy.
(iii) To assess the types of dialysis utilisation over a 5 year time period among the total
cohort of patients.
(iv)To determine how renal palliative care services were engaged for conservative care
patients, and document the patient's place of death (i.e. hospital, hospice, home with
community palliative care).
;
Observational Model: Case-Only, Time Perspective: Retrospective
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