Trial Comparing Care in Multiple Clinics Versus Care in a Cardiac, Diabetes and Kidney Care Clinic

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00175721
Recruitment Status : Completed
First Posted : September 15, 2005
Last Update Posted : March 17, 2014
Information provided by (Responsible Party):
University of British Columbia

Brief Summary:

The purpose of this study is to assess the benefits of a combined cardiac, kidney, and diabetes clinic versus multiple clinics.

Hypothesis: Attendance at multiple clinics by one individual patient has multiple problems which may be overcome by the introduction of a combined care clinic.

Condition or disease Intervention/treatment Phase
Kidney Diseases Heart Diseases Diabetes Mellitus Procedure: The Combined Cardiac Kidney Diabetes Care Clinic Not Applicable

Detailed Description:

This is a randomized control trial to compare health care resource utilization, and achievement of stated targets of therapy (BP, Hgb, glucose control, use of preventive medications) as well as patient and health care team satisfaction, and longer term patient outcomes in patients with kidney disease who have either or both diabetes and heart disease, and currently attend either a diabetic or heart function clinic (or both) in addition to a kidney care clinic. In addition, we will also establish and refine the specialized cross-disciplinary care model, within a framework in Vancouver, and evaluate its functioning from the perspectives of allied health and medical professionals.

This is a systematic evaluation of health care delivery methods to a complex group of patients, which will serve as a nidus for ongoing research in both health outcomes research, and biomedical research.

The creation of this multifaceted clinic in an organized manner would permit evaluation of all of the components of it, and also demonstrate the importance of collaboration between disciplines and between public health care initiatives and industry partners, who would fund this clinic infrastructure and research components in the initial phase.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 150 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Randomized Controlled Trial Comparing Current Care in Multiple Clinics Vs Care in a Novel Cardiac, Diabetes & Kidney Care Clinic
Study Start Date : December 2005
Actual Primary Completion Date : January 2013
Actual Study Completion Date : January 2013

Intervention Details:
    Procedure: The Combined Cardiac Kidney Diabetes Care Clinic
    See Detailed Description.

Primary Outcome Measures :
  1. Health care utilization and patient/provider satisfaction (5 years) [ Time Frame: 5 years ]

Secondary Outcome Measures :
  1. Patient outcomes (5 years) [ Time Frame: 5 years ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • All patients currently attending or who would be eligible to attend 2 or more of the following clinics: cardiac, diabetic or kidney

Exclusion Criteria:

  • Those patients currently attending the diabetic, cardiac or kidney clinics who do not have more than one condition (i.e. who have only one of the diagnoses) or who refuse to sign informed consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00175721

Canada, British Columbia
St. Paul's Hospital
Vancouver, British Columbia, Canada
Sponsors and Collaborators
University of British Columbia
Principal Investigator: Adeera Levin, MD University of British Columbia

Additional Information:
Responsible Party: University of British Columbia Identifier: NCT00175721     History of Changes
Other Study ID Numbers: H04-50008
First Posted: September 15, 2005    Key Record Dates
Last Update Posted: March 17, 2014
Last Verified: March 2014

Keywords provided by University of British Columbia:
Combined Clinic
Chronic Kidney Disease

Additional relevant MeSH terms:
Diabetes Mellitus
Kidney Diseases
Heart Diseases
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Urologic Diseases
Cardiovascular Diseases