About this trial
The objective of this initiative is to develop and evaluate a risk-based, provincial public health screening program for chronic kidney disease (CKD) that provides proactive care for adults at high-risk of kidney failure who have not previously been referred to a nephrologist, through risk stratification, triage, education, and follow-up.
Overall, we aim to demonstrate that an integrated risk-based provincial public health screening program for CKD is feasible, and improves identification of high-risk individuals, subsequently creating a model of care that can be adopted by other jurisdictions.
Eligibility criteria
Qualifiers
Age > 18 years old
Resident of Manitoba / has Manitoba Health coverage
2 eGFR <15 mL/min/1.73m2 tests within a 2-year timeframe or
A greater than 10% 2-year kidney failure risk (at 2 separate timepoints within a 2-year timeframe) - using the 4-variable or 3-variable 2-year Kidney Failure Risk Equation (KFRE)
Disqualifiers
A previous billing claim from a nephrologist
Receiving palliative care within 3 months of randomization
Previous history of dialysis and/or kidney transplantation
Trial design
Treatments tested in this trial
- Letter to participants
Treatment groups
Sponsors and collaborators
University of Manitoba
Lead sponsor
Can-SOLVE CKD Network
Collaborator
Seven Oaks Hospital Chronic Disease Innovation Centre
Collaborator