implementation of evidence-based nutrition practice guidelines for Kidney Diseases

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
DaVita Renal Center New Lenox, New Lenox, IL
Kidney Diseases+2 More
implementation of evidence-based nutrition practice guidelines - Other
Eligibility
Any Age
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether RDNs can implement EBNPGs for patients with CKD G5D.

See full description

Eligible Conditions

  • Kidney Diseases
  • Chronic Kidney Disease (CKD)

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether implementation of evidence-based nutrition practice guidelines will improve 1 primary outcome and 1 secondary outcome in patients with Kidney Diseases. Measurement will happen over the course of 3 months.

1 year
acceptability
3 months
Congruence with the evidence-based nutrition practice guideline

Trial Safety

Safety Progress

1 of 3

Trial Design

2 Treatment Groups

EBNPG knowledge-focused training (knowledge-only group)
1 of 2
EBNPG knowledge-focused training plus an implementation toolkit (comprehensive g...
1 of 2
Active Control
Experimental Treatment

This trial requires 40 total participants across 2 different treatment groups

This trial involves 2 different treatments. Implementation Of Evidence-based Nutrition Practice Guidelines is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

EBNPG knowledge-focused training plus an implementation toolkit (comprehensive group)
Other
The comprehensive training includes the knowledge-focused training, plus access to the EBNPG virtual implementation toolkit. Due to the depth and breadth of the CKD EBNPG, which includes over 70 recommendations, consensus building discussions were conducted with key stakeholders, such as leadership from national dialysis companies and the Evidence Analysis Center guideline developers, to select five recommendations for patients on dialysis as the primary implementation focus for this project.
EBNPG knowledge-focused training (knowledge-only group)
Other
The knowledge-focused training includes didactic information about the content of the EBNPG related to nutrition care for individuals on dialysis. This training contains information that is typically shared with RDNs when an EBNPG is released, and in this instance, includes a free webinar developed by the Academy and NKF that provides an overview of EBNPGs, as well as a presentation of the specific EBNPG developed.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 1 year
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 1 year for reporting.

Closest Location

DaVita Renal Center New Lenox - New Lenox, IL

Eligibility Criteria

This trial is for patients born any sex of any age. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
The individual will receive care at the facility for six months or more. show original
Patient
age ≥18 years
The text states that the conditions for coverage as defined by CMS (Centers for Medicare and Medicaid Services) are applied per the judgement of the RDNs (registered dieticians) or the policy of the facility. show original
residing in the United States
a referral diagnosis of CKD G5D

Patient Q&A Section

Have there been any new discoveries for treating chronic kidney diseases?

"[There is no evidence of a new treatment to be successful to treat chronic kidney diseases. It will take a long time before any treatment to be successful.] Clinicians should keep researching to discover effective treatments for chronic kidney diseases." - Anonymous Online Contributor

Unverified Answer

Does chronic kidney diseases run in families?

"Results from a recent paper suggest that CKD is not associated with a specific gene. The main risk factors for CKD in families are a very older chronological age, and hypertension." - Anonymous Online Contributor

Unverified Answer

What are the signs of chronic kidney diseases?

"In order to perform an accurate diagnosis of CKD, there is an urgent need for guidelines in order to define what parameters need to be followed for a correct diagnosis. In general, it is necessary to take into account the occurrence of pain (especially at night) induced by an insufficient volume of urine, anaemia or blood dyscrasias." - Anonymous Online Contributor

Unverified Answer

What causes chronic kidney diseases?

"Chronic kidney disease has several possible causes that depend on the type: ischemic or non-ischemic CKD; diabetes; hypertension; aging; chronic autoimmune diseases; or other causes. It is imperative to identify the underlying cause when the clinician is suspecting a CKD cause." - Anonymous Online Contributor

Unverified Answer

What are common treatments for chronic kidney diseases?

"There is a lack of data in the literature for kidney disease management, and patients should be referred to nephrologist for more information about their condition. The use of ACE inhibitors and ARBs remain to be tested. Physicians should be aware of the possible side effects of these medications and their drug interactions with ACE inhibitors and ARBs." - Anonymous Online Contributor

Unverified Answer

What is chronic kidney diseases?

"Chronic kidney diseases are disorders affecting the kidney function that are progressive and irreversible. Chronic kidney diseases are not only an individual disease, but also a community burden, especially among the elderly, for their high mortality." - Anonymous Online Contributor

Unverified Answer

Can chronic kidney diseases be cured?

"CKD and ESRD cannot be cured as they are progressive diseases. Efforts are needed to improve the existing tools of care and find new interventions that could improve survival and help lower the cost of HD." - Anonymous Online Contributor

Unverified Answer

How many people get chronic kidney diseases a year in the United States?

"In the United States, there was an estimated incidence of 1.7% of those aged 60 years or more per year. Most prevalent CKD were kidney stone-forming CKD (3.5%), chronic kidney disease (3.1%), and chronic kidney failure (1.0%). CKD and chronic kidney failure were estimated to be significantly more prevalent in older populations; the percentage of Americans aged 50 years or older (1.4%) is as much as 3.3fold higher than the percentage of Americans aged 20 years or younger (0.8%)." - Anonymous Online Contributor

Unverified Answer

Have there been other clinical trials involving implementation of evidence-based nutrition practice guidelines?

"There were no published studies in the literature that specifically compared an intervention that incorporated the guidelines with the control group. There are some challenges in implementing this line of research. Clinical practice guidelines are not simple to implement and have a history of mixed implementation, with varying success." - Anonymous Online Contributor

Unverified Answer

What is implementation of evidence-based nutrition practice guidelines?

"This paper shows the feasibility of implementation of practice guidelines related to nutrient intake, protein intake and calcium-to-phosphorus ratio and the potential impact of this implementation on the nutritional care." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for chronic kidney diseases?

"Although there were many indications for kidney disease clinical trials, few patients have been evaluated in kidney disease clinical trials. The reasons for the low response rate were unclear." - Anonymous Online Contributor

Unverified Answer

Has implementation of evidence-based nutrition practice guidelines proven to be more effective than a placebo?

"With increasing emphasis on EBM, implementing nutrition practice guidelines is a very efficient strategy to enhance the effectiveness of routine clinical care for renal complications." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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