Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Improve health and outcome for people with late stage chronic kidney disease by providing patient centered nursing services in addition to a Nephrologist's routine patient care.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy Transitions Group | Experimental |
|
|
| Usual Care Group | No Intervention | Usual care by nephrologist. No additional nursing support services will be provide to this group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education | Other | Additional education will be provided by nurses to improve communication and reduce fragmentation of care. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalization rate | Reduction in hospitalization rate in intervention group as compare to control group. | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Improve hemodialysis access rates | Percentage of patients with AVF, AVG or catheters | 18 months |
| Home dialysis | Increase choice of home dialysis as modality of treatment |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Steven Fishbane, MD | Northwell Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Kidney diseases and Hypertension | Great Neck | New York | 11021 | United States |
Not provided
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D004522 | Educational Status |
| D000090143 | Medication Review |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
| D008509 | Medication Systems |
| D009934 | Organization and Administration |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Daily weight measurement and monitoring | Other | Monitor weight to avoid problems related to hypervolemia. |
|
| Universal Dietary education | Other | To improve diet and health |
|
| Medication review | Other | Medication will be reviewed by nurses to detect any discrepancies to reduce medication error. |
|
| Focused advanced directive program | Other | Education will be provided to increase awareness and encourage patients to have advanced directive. |
|
| Countdown to fistula program | Other | To reduce the number of patients starting dialysis with catheter in place, comprehensive stepwise intervention will be provided by nurses to ensure arterio-venous (AV) fistula placement in all appropriate patients, with coordinated follow up and failure recovery processes. |
|
| 18 months |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006298 | Health Services Administration |
| D010346 | Patient Care Management |