Improving medication safety for patients with chronic renal impairment in general practice

ISRCTN ISRCTN02900734
DOI https://doi.org/10.1186/ISRCTN02900734
Secondary identifying numbers 01GK0302
Submission date
29/03/2007
Registration date
30/05/2007
Last edited
23/05/2013
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mrs Antje Erler
Scientific

Institute for General Practice
Johann Wolfgang Goethe University
Theodor-Stern-Kai 7
Frankfurt
D-60590
Germany

Email erler@allgemeinmedizin.uni-frankfurt.de

Study information

Study designCluster-randomised controlled trial; we randomised 23 General Practitioner (GP) practices in the intervention and 23 practices in the control group.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeQuality of life
Scientific title
Study acronymTP 1
Study objectivesIn comparison with the control group, the intervention will result in a higher proportion of correctly adjusted drugs in patients with chronic renal impairment.
Ethics approval(s)Approved by Ethics Committee of Johann Wolfgang Goethe University on the 18th September 2006.
Health condition(s) or problem(s) studiedChronic renal impairment (grade III or higher)
InterventionEach participating practice attended one of four consecutive introductory meetings and was randomised to the intervention or control group. The practices are told to recruit ten suitable patients during a period of four weeks after the meeting. The date on which the data sheets for these ten patients arrive at our institute (= T0) will be registered as the start of the six-month follow-up period. Six months later, each practice will be asked to provide data sheets for the same patients (= T1).

Intervention:
Introduction of an electronic support system for dose adjustment of drugs (software DOSING) plus information package about chronic renal impairment for doctors and patients for six months.

Control:
Care as usual.
Intervention typeOther
Primary outcome measureNumber of medications which have not been correctly adjusted to patient's renal function, measured at baseline (T0) and again after six months (T1).
Secondary outcome measures1. Number of patients in risk group with recently measured creatinine, measured at baseline (T0) and again after six months (T1)
2. Assessment of feasibility and usefulness of the tested electronic support system by participating General Practices (GP's), measured at baseline (T0) and again after six months (T1)
Overall study start date21/02/2007
Completion date13/02/2008

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants400 patients
Key inclusion criteriaPatient level:
1. Patients with established chronic renal impaiment grade III or higher (creatinine clearance below 50 ml/min)
2. Patients at risk of developing chronic renal impairment (70 years or older with hypertension = risk group)

Practice level:
1. Use of computer during consultation
2. Use of computer for prescribing medications
Key exclusion criteriaPatient level:
1. Terminally ill patients
2. Patients with dialysis treatment

Practice level:
Routine use of an electronic support system for dose adaption in patients with chronic renal impairment.
Date of first enrolment21/02/2007
Date of final enrolment13/02/2008

Locations

Countries of recruitment

  • Germany

Study participating centre

Institute for General Practice
Frankfurt
D-60590
Germany

Sponsor information

German Federal Ministry of Education and Research (Bundesministerium Für Bildung und Forschung [BMBF]) (Germany)
Government

Hannoversche Strasse 28-30
Berlin
10115
Germany

Website http://www.bmbf.de/en/index.php
ROR logo "ROR" https://ror.org/04pz7b180

Funders

Funder type

Government

German Federal Ministry of Education and Research (Bundesministerium Für Bildung und Forschung [BMBF]) (Germany) (ref: 01GK0302) - notification of February 7, 2006

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 06/09/2012 Yes No