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Disparities in National Kidney Allocation Policy (ASCENT)

Emory University logo

Emory University

Status

Completed

Conditions

Kidney Disorders

Treatments

Other: Standard Care
Other: Performance Feedback Reports
Other: Educational Webinar
Other: United Network for Organ Sharing (UNOS) Pamphlet
Other: Educational Video for Patients
Other: Educational Video for Staff

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT02879812
IRB00081580
1R01MD010290-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of the current study is to test a systems-level approach to disseminate a multicomponent, multilevel intervention consisting of educational materials about transplantation and the new kidney allocation system targeting dialysis facility Medical Directors, staff, and patients. Roughly 750 dialysis facilities in up to 18 end stage renal disease Network regions across the United States will be randomized to receive intervention materials. The overall goal of the study is to extend the influence of the national allocation policy in reducing disparities in early steps in kidney transplant access.

Full description

The purpose of the ASCENT study is to test a systems-level approach to disseminate a multi-component intervention consisting of in the era of the new national kidney allocation policy and educational materials targeting dialysis facility Medical Directors, staff, and patients. The investigators will randomize ~750 dialysis facilities in up to 18 End Stage Renal Disease Network regions across the United States, where approximately half of facilities will receive the intervention materials and half will receive an informational brochure. This pragmatic, clinical effectiveness-implementation study will test the effectiveness of the multicomponent, multilevel interventions consisting of a tailored, facility-specific transplant and disparity performance report, educational videos for staff and dialysis patients, and an educational webinar for dialysis facility Medical Directors and staff.

Enrollment

56,332 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Dialysis facilities with at least 25 patients composed of at least 10% African American and 10% Caucasian

Exclusion criteria

Dialysis facilities with wait listing rates above the national tertile

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

56,332 participants in 2 patient groups

Multi-Component Intervention
Experimental group
Description:
End Stage Renal Disease (ESRD) facilities will receive feedback reports containing facility specific data, an educational webinar for dialysis facility medical directors and staff, and an educational video for patients and staff.
Treatment:
Other: Educational Webinar
Other: United Network for Organ Sharing (UNOS) Pamphlet
Other: Educational Video for Patients
Other: Performance Feedback Reports
Other: Educational Video for Staff
Standard Care + Pamphlet
Active Comparator group
Description:
End Stage Renal Disease (ESRD) facilities will conduct usual care and receive United Network for Organ Sharing (UNOS) educational pamphlets for staff.
Treatment:
Other: Standard Care
Other: United Network for Organ Sharing (UNOS) Pamphlet

Trial documents
1

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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