Chronic Kidney Disease-Education (CKD-EDU)

Last updated: April 2, 2025
Sponsor: University of Rochester
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

Program A

Usual Care

Program B

Clinical Study ID

NCT06410144
STUDY00009330
R01AG082891
  • Ages > 75
  • All Genders

Study Summary

The investigators are conducting a study to see which program better helps older patients with kidney disease choose their treatment. Investigators are also investigating if either program can reduce the number of hospital or emergency room visits in the first 6 months of the study, as well as potentially improve end-of-life care for older adults.

Half of the participants will receive Program A, while the other half will receive Program B. Investigators will compare the two groups to see which participants feel better prepared about their kidney therapy decisions, experience improved end-of-life care, and have fewer emergency room visits and hospital admissions.

Participants in Program A will receive information from the National Kidney Foundation and meet with a kidney therapy educator. Participants in Program B will get information about kidney disease treatment and meet with a decision-support specialist who's an expert in decision-making.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age ≥ 75 years old

  • Has advanced kidney disease with kidney function less than 30%

  • Speaks English

  • Has not yet made a dialysis decision

Exclusion

Exclusion Criteria:

  • Has already decided on dialysis or active medical care without dialysis.

  • Has already been seen by a Palliative Care (PC) clinician for kidney-related issuesor is enrolled in hospice

  • Currently on dialysis

  • Unable to provide informed consent or complete verbally administered surveys due tohealth, sensory, or cognitive impairment.

Study Design

Total Participants: 326
Treatment Group(s): 4
Primary Treatment: Program A
Phase:
Study Start date:
February 27, 2025
Estimated Completion Date:
May 31, 2029

Study Description

Older adults ≥75 years represent the fastest-growing population to initiate dialysis in the US; despite the life-altering effects of dialysis on quality of life, dialysis is often presented as a default without considering patient preferences, prognosis, and alternative options such as conservative kidney management. This study will test the first palliative care intervention for older patients with advanced chronic kidney disease to improve the kidney therapy decision-making process. This research not only has the potential to help thousands of older patients with advanced chronic kidney disease who often have unanswered questions, unmet information needs, and restricted opportunities to share personal treatment preferences with their nephrologists but also has the possibility of creating new models of collaborative care by integrating palliative care into routine nephrology care.

Connect with a study center

  • UR Medicine Nephrology - Strong West

    Brockport, New York 14420
    United States

    Active - Recruiting

  • Nephrology Clinic - Thompson Professional Building

    Canandaigua, New York 14424
    United States

    Active - Recruiting

  • Nephrology Clinic - St. James Medical Office Building

    Hornell, New York 14843
    United States

    Active - Recruiting

  • Highland Hospital

    Rochester, New York 14620
    United States

    Active - Recruiting

  • University of Rochester Medical Center

    Rochester, New York 14642
    United States

    Active - Recruiting

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