Best Case/Worst Case: protocol for a multisite randomised clinical trial of a scenario planning intervention for patients with kidney failure.

Humans Aged Middle Aged Quality of Life Renal Dialysis Palliative Care / methods Communication Renal Insufficiency Randomized Controlled Trials as Topic
Adult nephrology Adult palliative care Chronic renal failure Dialysis End stage renal failure MEDICAL ETHICS

Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
03 11 2022
Historique:
entrez: 3 11 2022
pubmed: 4 11 2022
medline: 8 11 2022
Statut: epublish

Résumé

Given the burdens of treatment and poor prognosis, older adults with kidney failure would benefit from improved decision making and palliative care to clarify goals, address symptoms, and reduce unwanted procedures. Best Case/Worst Case (BC/WC) is a communication tool that uses scenario planning to support patients' decision making. This article describes the protocol for a multisite, cluster randomised trial to test the effect of training nephrologists to use the BC/WC communication tool on patient receipt of palliative care, and quality of life and communication. We are enrolling attending nephrologists, at 10 study sites in the USA, who see outpatients with advanced chronic kidney disease considering dialysis. We aim to enrol 320 patients with an estimated glomerular filtration rate of ≤24 mL/min/1.73 m Approvals have been granted by the Institutional Review Board at the University of Wisconsin (ID: 2022-0193), with each study site ceding review to the primary IRB. All nephrologists will be consented and given a copy of the consent form. No patients or caregivers will be recruited or consented until their nephrology provider has chosen to participate in the study. Results will be disseminated via submission for publication in a peer-reviewed journal and at national meetings. NCT04466865.

Identifiants

DOI: 10.1136/bmjopen-2022-067258 PMID: 36328383 PMC: PMC9639110
pubmed: 36328383
pii: bmjopen-2022-067258
doi: 10.1136/bmjopen-2022-067258
pmc: PMC9639110
doi:

Banques de données

ClinicalTrials.gov
['NCT04466865']

Types de publication

Clinical Trial Protocol Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

e067258

Subventions

Organisme : NIA NIH HHS
ID : R01 AG065365
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL110853
Pays : United States
Organisme : NINR NIH HHS
ID : U2C NR014637
Pays : United States

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Karlie Haug (K)

Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA khaug@uwhealth.org.
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
ORCID: 0000-0002-2445-0802

Anne Buffington (A)

Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA.

Amy Zelenski (A)

Department of Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
ORCID: 0000-0002-2096-8567

Bret M Hanlon (BM)

University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Department of Biostatistics & Medical Informatics, University of Wisconsin, Madison, WI, USA.
ORCID: 0000-0002-4517-1204

Lily Stalter (L)

Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA.

Kristine L Kwekkeboom (KL)

University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
School of Nursing, University of Wisconsin, Madison, WI, USA.

Paul Rathouz (P)

Department of Biostatistics & Medical Informatics, University of Wisconsin, Madison, WI, USA.

Amar D Bansal (AD)

Division of Nephrology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Katharine Cheung (K)

Division of Nephrology, University of Vermont, Burlington, Vermont, USA.

Deidra Crews (D)

Division of Nephrology, Johns Hopkins University, Baltimore, Maryland, USA.

Rebecca Frazier (R)

Division of Nephrology, Northwestern Memorial HealthCare Corp, Chicago, Illinois, USA.

Holly Koncicki (H)

Division of Nephrology, Mount Sinai Health System, New York, New York, USA.

Daniel Lam (D)

Division of Nephrology, University of Washington, Seattle, Washington, USA.

Alvin Moss (A)

Section of Nephrology, West Virginia University, Morgantown, West Virginia, USA.

Maya Rao (M)

Division of Nephrology, Columbia University, New York, New York, USA.

Dawn F Wolfgram (DF)

Division of Nephrology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Jeniann Yi (J)

Department of Surgery, University of Colorado Health, Aurora, Colorado, USA.

Carrie Brill (C)

University of Colorado, Denver, Colorado, USA.

Rachael Kendrick (R)

University of Colorado, Denver, Colorado, USA.

Toby C Campbell (TC)

Department of Medicine, University of Wisconsin, Madison, Wisconsin, USA.

Roy Jhagroo (R)

Department of Medicine, University of Wisconsin, Madison, Wisconsin, USA.

Margaret Schwarze (M)

Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA.
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.

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