Improving Screening and Therapy for Hispanic/Latinx at Risk for CKD

Duke University

Status: Completed

Conditions: Chronic Kidney Diseases; Type 2 Diabetes

Treatments: Behavioral: PCP Guidelines for Screening and Monitoring Hispanic/Latinx patients for CKD; Diagnostic Test: HbA1c; Diagnostic Test: BP

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT05734989

Pro00112455

Details and patient eligibility

About

In this study, the investigators will utilize community organizations to screen Hispanics/Latino(a)s for kidney disease, diabetes, and other risk factors, and refer them for care with a PCP. Additionally, the investigators will implement an intervention in local health clinics to assist PCPs with screening and treating patients with diabetes.

Completion of the project will hopefully slow progression of kidney disease among Hispanic/Latino(a) patients in Durham, and the information gained will allow the investigators to eventually perform the intervention on a larger scale.

Full description

The goals of this study are to (1) Increase rates of screening and monitoring of CKD and CKD risk factors for Hispanic/Latinx community members in Durham by utilizing existing community resources and screening events and (2) Pilot test a PCP-facing intervention to promote guideline concordant testing and evidence-based therapy provision for Hispanics/Latinx with T2D at community health centers, utilizing clinical champions and pharmacists. The investigators anticipate the study will identify patients with CKD or CKD risk factors and establish feasibility of the pilot intervention, which the investigators plan to ultimately apply on a large scale to reduce inequities and improve clinical outcomes among Hispanics/Latinx.

Enrollment: 59 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Aim 1:

Inclusion Criteria:

• Age 18 or older at time of screening
• Self-identifying as Hispanic/Latinx ethnicity.

Exclusion Criteria:

• Unable to be reached by telephone

Trial design

59 participants in 2 patient groups

Hispanic/Latinx patients at risk for CKD

Description:

Adult patients in the Hispanic/Latinx Durham community screened for CKD

Treatment:

Diagnostic Test: HbA1c

Diagnostic Test: BP

PCPs caring for Hispanic Latinx patients screened for CKD in the Durham Community

Description:

Primary Care Providers (PCPs) caring for Hispanic Latinx patients who agree to use the study guidelines and interventions for screening and monitoring their patients for CKD.

Treatment:

Behavioral: PCP Guidelines for Screening and Monitoring Hispanic/Latinx patients for CKD