Chronic Kidney Disease-Education (CKD-EDU)

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

Program A

February 27, 2025

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

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.