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Telenephrology Implementation.


- candidate number8128
- NTR NumberNTR2368
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR8-jun-2010
- Secondary IDsSA 02 / L176.2009550 ; Kidney Foundation, the Netherlands / Amgen, Breda
- Public TitleTelenephrology Implementation.
- Scientific TitleCONTACT: Consultation Of Nephrology by Telenephrology Allows optimal Chronic kidney disease Treatment in general practice.
- ACRONYMCONTACT
- hypothesisIn the care for patients with Chronic kidney Disease, practices that use Telenephrology will refer less to nephrologists and consult more than practices that do not use Telenephrology. Telenephrology is a webbased technique, which facilitates general practitioners to consult a nephrologist; data from the electronic patient file are extracted and imported to an internet platform. The general practitioner adds his of her question to the nephrologist. The nephrologist answers and the answer will appear in the electronic patient file.
- Healt Condition(s) or Problem(s) studiedChronic kidney disease
- Inclusion criteria1. General practices and nephrology practices;
2. Patients older than 18 years.
- Exclusion criteria1. Practices that already use Telenephrology;
2. Patients with acute nephrologic disease, that need referral the same day;
3. Patients unable to give informed consent for the use of Telenephrology.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-nov-2010
- planned closingdate1-jan-2013
- Target number of participants1368
- Interventions1. Intervention practices use Telenephrology to consult a nephrologist;
2. Control practices consult in their usual way (by phone).
- Primary outcomeNumber of referrals to nephrologist care.
- Secondary outcome1. Number of consultations of nephrologists;
2. ICPC coding of patients with CKD;
3. Number and height of known blood pressures in patients with CKD;
4. Metabolic parameters in patients with CKD;
5. Newly found patients with CKD;
6. Number of consultations and referrals in newly found patients with CKD;
7. Costs and profits of Telenephrology.
- TimepointsAfter one year the number of referrals and consultations will be measured. Blood pressure and laboratory parameters will be extracted from the electronic patient file.
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIESDr. WJC Grauw de
- CONTACT for SCIENTIFIC QUERIESDrs. N.D. Scherpbier-de Haan,
- Sponsor/Initiator Radboud University Nijmegen Medical Centre, Department of Primary and Community Care (huispost 117)
- Funding
(Source(s) of Monetary or Material Support)
Amgen, Nierstichting
- PublicationsN/A
- Brief summaryThe incidence of Chronic Kidney Disease in primary care is rising. A referral to a nephrologist is a burden for the patient and is expensive. With the aid of specialist's knowledge, a general practitioner could provide better care and prevent referrals. Telenephrology is a webbased technique, which facilitates general practitioners to consult a nephrologist. Data from the electronic patient file are extracted and imported to an internet platform. The general practitioner adds his of her question to the nephrologist. The nephrologist answers and the answer will appear in the electronic patient file. In a cluster randomised trial 38 Dutch general (group)practices will be randomised for either use of Telenephrology or usual care (phone) to consult a nephrologist. They will be given a list of patients with CKD, in which a nephrologist-consultation is advisable according to the Dutch CKD standard (approx 36 patients per group-practice).
After a year, the number of nephrology referrals and consultations and data on blood pressure and metabolic parameters will be measured.
- Main changes (audit trail)
- RECORD8-jun-2010 - 23-jun-2010


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