Patient Navigation for Kidney Stones

Overseen By David Bayne, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of California, San Francisco

Disqualifiers: Under 18, Non-English-speaking, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

What You Need to Know Before You Apply

What is the purpose of this trial?

Patients who visit the emergency department for kidney stones are sometimes referred to urology for follow-up care but never complete that visit. Missing follow-up appointments can lead to worse outcomes, including recurrent pain, infection, or surgery. Research shows that patients who are socially or economically at risk (such as those with public insurance, lower income, or limited English proficiency) are more likely to experience these care gaps.

This study will pilot a patient navigation program designed to help patients with urinary stone disease (USD) attend their scheduled urology appointments after being seen in the Emergency Department. Using an electronic health record (EHR) based prediction model developed in earlier research, patients at higher risk for being lost to follow-up will be identified and invited to participate. Each participant will be paired with a trained patient navigator who will assess barriers to care, provide support, and maintain contact for about 12 weeks.

The goal of this study is to evaluate the outcomes and feasibility of this navigation intervention. Findings will help determine whether a larger study should test if this approach improves access to care and health outcomes for patients with kidney stones.

Who Is on the Research Team?

David Bayne, MD

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

This trial is for adults over 18 who went to the ER for kidney stones and are at high risk of missing their follow-up urology appointments. It's especially aimed at helping those with social or economic challenges.

Inclusion Criteria

Identified as high risk for loss to follow-up based on the study's screening process

I am 18 years old or older.

I went to the ER for kidney stones.

Exclusion Criteria

Non-English-speaking

No outpatient urology referral placed from the Emergency Department

I am under 18 years old.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Patient Navigation Intervention

Participants are paired with a trained patient navigator who assesses barriers to care, provides support, and maintains contact

12 weeks

Follow-up

Participants are monitored for outcomes and feasibility of the navigation intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Patient Navigation

Trial Overview

The study tests a patient navigation program where participants get personalized help from a navigator to overcome barriers and make it to their urology appointments after an ER visit.

How Is the Trial Designed?

Group I: Patient Navigation Intervention Experimental Treatment 1 Intervention

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials

2,636

Recruited

19,080,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials

2,513

Recruited

4,366,000+