Effect of the Teleconsultation of Renal Nutrition on Renal Function and Glycemic Control in Patients With DKD
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|ClinicalTrials.gov Identifier: NCT03344549|
Recruitment Status : Recruiting
First Posted : November 17, 2017
Last Update Posted : February 27, 2018
The modern era is characterized by progress, development and social and economic globalization. Currently the electronic technology has applications in a wide variety of work areas. A clear example of this, is telemedicine. The technological tools are increasingly used every day in the improvement of the processes and the attention in health, in the last decades, telemedicine has grown exponentially becoming more accessible to the population.
On the other hand, and in the same way, the number of people with chronic degenerative diseases such as diabetes and chronic kidney disease are increasing with alarming numbers, The health system can not offer the attention to the great demand. The strategies used until now for its management have gradually evolved towards a more effective prevention and treatment approach which requires a multidisciplinary team. Investigate the use of new tools that promise to improve the service, has also become a prevailing need. Therefore, the purpose of this study is to know the effect of nutritional teleconsultation on renal function and glycemic control of patients with Diabetic Kidney Disease (DKD) in pre-dialysis stages (specifically G3a, G3b and G4).
|Condition or disease||Intervention/treatment||Phase|
|Diet Modification Diabetic Kidney Disease Chronic Kidney Diseases||Behavioral: Renal nutrition teleconsultation Behavioral: Face-to-face consultation of renal nutrition||Not Applicable|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||68 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||In the experimental group, the nutritional intervention will be done through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic); and in the control group will be offered the nutritional intervention through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution, both arms will be intervened monthly for four months, the duration of the sessions will be 45 minutes and will include evaluation or re-evaluation of dietary data, diagnosis, treatment and educational approach.|
|Masking:||None (Open Label)|
|Official Title:||Effect of Nutritional Intervention Through Teleconsultation on Glomerular Filtration Rate and Glycated Hemoglobin A1c in Patients With Diabetic Kidney Disease in Stage G3a, G3b and G4.|
|Actual Study Start Date :||December 28, 2017|
|Estimated Primary Completion Date :||July 2018|
|Estimated Study Completion Date :||August 2018|
In the patients of the experimental group, the nutritional intervention is carried out through teleconsultation with the free technological tool chosen (the patients from home and the nutritionist from the remote clinic).
Behavioral: Renal nutrition teleconsultation
Renal Nutritional teleconsultation for patients with diabetic kidney disease without dialysis, monthly for 4 months.
In the patients of the other group, the nutritional intervention is offered through face-to-face consultations carried out by the nutritionist of the nutrition service of the institution.
Behavioral: Face-to-face consultation of renal nutrition
Face-to-face consultation of renal nutrition for patients with diabetic kidney disease without dialysis, monthly for 4 months.
- Know the glycemic control [ Time Frame: Baseline and at 4 month ]Determination of the changes in glycated hemoglobin (HbA1c) at the beginning and end of the nutritional intervention through teleconsultation and face-to-face consultation offered monthly for 4 months.
- Know the renal function [ Time Frame: Baseline and at 4 month ]Determination of the changes in the estimated glomerular filtration rate (eGFR), at the beginning and at the end of the nutritional intervention through teleconsultation and face-to-face consultation offered monthly for 4 months.
- Adherence to treatment [ Time Frame: Baseline and at 5 month ]To know the adherence to the treatment through the evaluation of energy intake and protein at the beginning and after 4 months in both study groups.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03344549
|Contact: Ari Cisneros, bachelor||011 52 firstname.lastname@example.org|
|Contact: Fabiola Martin del Campo, Master||011 52 email@example.com|
|Hospital Civil Nuevo Juan I Menchaca||Recruiting|
|Guadalajara, Jalisco, Mexico, 44340|
|Contact: Jorge Andrade Sierra 521 3311747258 firstname.lastname@example.org|
|Principal Investigator:||Ari Cisneros, Bachelor||Hospital Civil Juan I. Menchaca|