A Video Decision Support Tool to Assist Patients in Dialysis Decision-making Versus Conservative Kidney Management



Status:Recruiting
Conditions:Renal Impairment / Chronic Kidney Disease
Therapuetic Areas:Nephrology / Urology
Healthy:No
Age Range:65 - Any
Updated:4/17/2018
Start Date:February 2016
End Date:December 2018
Contact:Nwamaka D Eneanya, MD, MPH
Phone:617-643-4540

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A Video Decision Support Tool to Assist Patients in Dialysis Decision-making Versus Conservative Kidney Management - A Pilot Randomized Control Trial

In the United States, it is estimated that there are approximately 630,000 patients who have
ESRD with two-thirds of those patients subsequently receiving maintenance dialysis. Studies
have demonstrated that the initiation and timing of dialysis for those with ESRD seem to vary
widely regionally - confirming the uncertainty of the benefits of chronic dialysis in this
population

Pre-dialysis education programs inform patients of all of their options allowing them to
choose renal replacement therapy that is most consistent with their wishes. Recent evidence
has supported using different methods of delivering education including videos to complement
standard clinical care practices to promote informed decision making. This proposed study
will serve to examine the effectiveness of a dialysis modality video decision support tool to
inform chronic kidney disease patients of different dialytic and non-dialytic therapies.


Inclusion Criteria:

- English-speaking during clinical encounters

- Stage 4 or 5 CKD (defined by the Chronic Kidney Disease Epidemiology Collaboration for
estimation of GFR < 30 ml/min/1.73m2)

Exclusion Criteria:

- Known history of dementia

- Legally blind

- Listed for kidney transplant
We found this trial at
1
site
185 Cambridge Street
Boston, Massachusetts 02114
617-724-5200
Phone: 617-643-4540
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Boston, MA
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