About this trial
This study will provide valuable insights into the demographics of MyRenalCare users, their digital adherence, and the overall impact of the app on health outcomes, healthcare costs, and environmental sustainability.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18 years or over.
Under the care of the Wessex Kidney Centre
Registered with, or offered and subsequently enrolled onto, the MyRenalCare platform during the defined retrospective or prospective periods.
Able to understand study information and, where applicable, provide informed consent for use of their data for research purposes.
Disqualifiers
Patients with acute kidney injury without established chronic kidney disease.
Patients with a very limited life expectancy where participation in routine digital monitoring is not appropriate, as judged by the clinical team.
Patients who have previously indicated that they do not wish their routinely collected clinical data to be used for research where such opt-out applies to this study.
Patients who are unable to be identified reliably in the available data sources (for example, inconsistent or missing key identifiers).
Trial population
* Retrospective: \~450-500 existing users + matched controls(24 months data). * Comparison with entire WKC CKD population * Prospective: \~500-550 new users + matched controls (6 months). * Exploratory: \~500 dialysis or pre transplant MyRenalCare users (no matched controls). * Qualitative: 15-25 patients + 10-15 staff.
Trial design
Other
Other
Treatments tested in this trial
Non-Interventional Study
Other interventionStudy is non-interventional.
Treatment groups
Trial outcomes
Primary outcomes
Primary
Outcome measure 1: Number and proportion of MyRenalCare users by age, sex, ethnicity and Index of Multiple Deprivation quintile, compared with the CKD population under Wessex Kidney Centre care. Prevalence ratios will also be calculated.
Primary
Outcome measure 2: Composite digital adherence score (0-100) for MyRenalCare users, combining log-in frequency, completeness of blood pressure and symptom entries, use of secure messaging and duration of sustained use. Analyses stratified by age, sex, ethnicity and deprivation.
Secondary outcomes
Secondary
Outcome measure1: Number of unplanned and planned hospital admissions for MyRenalCare users compared with matched usual-care controls.
Secondary
Outcome measure 2: Number of outpatient visits (renal and non-renal) for MyRenalCare users compared with matched usual-care controls.
Secondary
Outcome measure 3: CKD progression, measured by change in eGFR, movement between CKD stages, and initiation of kidney replacement therapy for MyRenalCare users versus matched controls.
Secondary
Outcome measure 4: NHS healthcare costs per patient-year for MyRenalCare users compared with matched usual-care controls, including inpatient, outpatient, emergency and relevant community or virtual care contacts.
Sponsors and contacts
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Portsmouth Hospitals NHS Trust
Lead sponsor
Ardia Digital Health Ltd
Collaborator