Study of Home-Embedded Palliative Care for Hemodialysis- (and Peritoneal-) Dependent End-Stage Renal Disease

Last updated: January 22, 2025
Sponsor: University of Pennsylvania
Overall Status: Terminated

Phase

N/A

Condition

Kidney Disease

Renal Failure

Kidney Failure

Treatment

Nudge for PHPC NP Referral

Clinical Study ID

NCT06144281
851328 (2)
  • Ages > 18
  • All Genders

Study Summary

Home palliative care needs are often under-recognized in patients with End-Stage Renal Disease (ESRD). This pilot study is designed to evaluate the effectiveness of referrals to home palliative care services in improving patient outcomes compared with usual care among patients with ESRD admitted to a Penn hospital. Evaluating the effectiveness of home palliative care services is critical to determine whether increasing access to these services would improve patient-centered outcomes for these high-need patients

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Be an adult (18 years of age or older) hospitalized at a Penn study hospital

  • AND digital signature of ESRD (N18.6) within the last 12 months

  • AND resides in the five-county area surrounding Philadelphia which is served by PennPalliative Care Nurse Practitioner program

  • AND have one or more of the following markers of potentially unmet needs: (i)existing home care eligibility or referral for home care (but not already receivingPC); (ii) non-ambulatory status determined via nursing assessment; (iii) severeprotein-calorie malnutrition; (iv) 2 or more hospitalizations within the prior year

Exclusion

Exclusion Criteria:

  • Patients with functional kidney transplants

  • Patients discharged to skilled nursing facilities and LTC facilities

Study Design

Total Participants: 315
Treatment Group(s): 1
Primary Treatment: Nudge for PHPC NP Referral
Phase:
Study Start date:
December 14, 2023
Estimated Completion Date:
November 11, 2024

Connect with a study center

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

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