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Sponsors and Collaborators: |
Hamilton Health Sciences National Research System-College of Family Physicians of Canada |
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Information provided by: | McMaster University |
ClinicalTrials.gov Identifier: | NCT00446615 |
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.
Condition | Intervention |
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Chronic Kidney Disease |
Behavioral: computer decision support tool Behavioral: audit and feedback Behavioral: group learning session |
Study Type: | Interventional |
Study Design: | Health Services Research, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study |
Official Title: | Multifaceted Intervention to Improve Prescribing of Medications Requiring Dose Adjustment in Patients With Chronic Kidney Disease |
Study Start Date: | March 2007 |
Estimated Study Completion Date: | March 2007 |
Ages Eligible for Study: | 65 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Imaan Bayoumi, MD | 905 575-1300 | bayoumi@mcmaster.ca |
Contact: Lisa McCarthy | 905 575-1300 | lmccart@mcmaster.ca |
Canada, Ontario | |
Stonechurch Family Health Centre | |
Hamilton, Ontario, Canada, L8W 3J6 |
Principal Investigator: | Imaan Bayoumi | McMaster University |
Principal Investigator: | Lisa McCarthy | McMaster University |
Study ID Numbers: | CR-168 |
Study First Received: | March 9, 2007 |
Last Updated: | March 9, 2007 |
ClinicalTrials.gov Identifier: | NCT00446615 |
Health Authority: | Canada: Ethics Review Committee |
computer decision support primary care kidney disease, chronic prescribing |
Renal Insufficiency Urologic Diseases Renal Insufficiency, Chronic |
Kidney Failure, Chronic Kidney Diseases Kidney Failure |