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Multifaceted Intervention to Improve Prescribing in Patients With Chronic Kidney Disease

NCT00446615 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL

Last updated 2007-03-13

No results posted yet for this study

Summary

In 2001, an estimated 1.9 million Canadians had chronic renal disease and the number of patients being treated for end stage renal disease climbed by nearly 20% in 5 years. Many medications commonly used in elderly patients are excreted by the kidney. Failure to adjust doses in those with impaired renal function can result in medication overdose, leading to potentially serious morbidity and mortality. Studies in hospitals and long term care facilities have found a 19-67% rate of non-compliance with guidelines for medication dose adjustment in patients with renal insufficiency and in ambulatory care one study found a 69% rate of non-compliance. Since primary care physicians write 80% of prescriptions for those aged 65 years, there is a need for interventions to improve prescribing to patients with renal impairment in primary care.

This study will develop an audit tool and electronic decision support tool that will be incorporated into the electronic medical record in a large academic family health centre. It is seen as a preliminary step in a project to assess the effectiveness of a multifaceted intervention including chart audit, personalized feedback to prescribers, a pharmacist-facilitated group learning session and the use of an electronic decision support tool incorporated into the electronic medical record.

Conditions

Interventions

BEHAVIORAL

computer decision support tool

BEHAVIORAL

audit and feedback

BEHAVIORAL

group learning session

Sponsors & Collaborators

  • National Research System-College of Family Physicians of Canada

    collaborator NETWORK

  • Hamilton Health Sciences Corporation

    lead OTHER

Principal Investigators

  • Imaan Bayoumi · McMaster University

  • Lisa McCarthy · McMaster University

Study Design

Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
SINGLE_GROUP

Eligibility

Min Age
65 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2007-03-31
Completion
2007-03-31

Countries

  • Canada

Study Locations

More Related Trials

Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT00446615 on ClinicalTrials.gov