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| Name | Class |
|---|---|
| Ontario Renal Network | UNKNOWN |
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This pragmatic cluster randomized controlled trial will test the impact of feedback and a toolkit aimed at improving the management of chronic kidney disease (CKD) in the primary care setting. This trial will use family physicians in Ontario participating in the Electronic.
This trial will use family physicians in Ontario participating in the Electronic Medical Record Administrative data Linked Database (EMRALD) and receiving the System for Audit and Feedback to Improve caRE (SAFIRE) along with other decision support tools. Performance on CKD quality indicators for family physicians receiving the CKD feedback and tools will be compared to physicians not receiving the CKD feedback or tools.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CKD feedback and tools | Active Comparator | Physicians in these clinics/clusters will receive feedback on their performance for screening and managing CKD quality indicators as well as EMR tools to aid in their performance |
|
| No Intervention | No Intervention | Physicians in these clinics/clusters will not receive CKD feedback or tools |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CKD feedback and tools | Behavioral | people in the intervention arm will receive feedback on ckd quality indicators and tools to help in the detection and management of ckd |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients age 50-80 with Stage 3+ CKD and a statin prescription | Comparison of proportion of patients age 50-80 years with Stage 3+ CKD (no dialysis or renal transplant) and receiving a statin prescription at baseline and at the end of the trial | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients at high risk screened for CKD with an eGFR and/or ACR | compare baseline rates to end of intervention rates | 24 months |
| Proportion of patients with an initial eGFR <60 and a f/u eGFR or an ACR |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karen Tu, MD, MSc | ICES/Sunnybrook | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28607686 | Derived | Nash DM, Ivers NM, Young J, Jaakkimainen RL, Garg AX, Tu K. Improving Care for Patients With or at Risk for Chronic Kidney Disease Using Electronic Medical Record Interventions: A Pragmatic Cluster-Randomized Trial Protocol. Can J Kidney Health Dis. 2017 Apr 5;4:2054358117699833. doi: 10.1177/2054358117699833. eCollection 2017. |
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No, final results will be aggregate although as part of the trial individual participants do receive individual level feedback
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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compare baseline rates to end of intervention rates
| 24 months |
| Proportion of patients with diabetes and albuminuria and on an ACE or ARB | compare baseline rates to end of intervention rates | 24 months |
| Proportion of patients meeting eGFR criteria for CKD and documentation of CKD in the cumulative patient profile (CPP) | compare baseline rates to end of intervention rates | 24 months |
| Proportion of patients with an ACR in the past 18 months and meeting bp targets | compare baseline rates to end of intervention rates | 24 months |
| Proportion of patients age less than 80 years and an eGFR<30 being seen by or with a referral to a Nephrologist | compare baseline rates to end of intervention rates | 24 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 |