Effectiveness of integrated care on delaying chronic kidney disease progression in rural communities of Thailand (ESCORT study): rationale and design of the study [NCT01978951]

BMC Nephrology

Visith Sitprija³  Teerachai Chantarojsiri⁷  Tanyarat Teerapornlertratt⁷  Sunard Taechangam⁴  Chanida Pachotikarn⁴  Akhathai Saetie⁷  Watcharapong Watcharasaksilp¹  Vinai Leesmidt⁶  Suphattra Kanchanakorn⁷  Kotcharat Vipattawat⁷  Chatri Banchuin⁷  Kriang Tungsanga⁵  Atiporn Ingsathit²  Teerayuth Jiamjariyaporn⁷ 

[1] Saithong Wattana District Hospital, Ministry of Public Health, Khamphaeng Phet, Thailand;Division of Nephrology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand;Queen Saovabha Memorial Institute, Bangkok, Thailand;Institute of Nutrition, Mahidol University, Bangkok, Nakhon Pathom Province, Thailand;Division of Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;Khlong Khlung District Hospital, Ministry of Public Health, Khamphaeng Phet, Thailand;Bhumirajanagarindra Kidney Institute, Bangkok, Thailand

关键词: Village health volunteers;    Integrated CKD care program;    Chronic kidney disease;   

Others  :  1082664
DOI  :  10.1186/1471-2369-15-99

 received in 2014-06-04, accepted in 2014-06-17,  发布年份 2014

【 摘 要 】

Background

In developing countries, accessibility to specialists, and physician to patient contact time is limited. In Thailand, A unique community health service is provided by subdistrict health care officers and Village Health Volunteers (VHVs). If the personnel were trained on proper chronic kidney disease (CKD) care, CKD progression would be delayed.

Methods/Design

We conducted a community-based, cluster randomized controlled trial at Kamphaeng Phet Province, located about 400 kilometers north of Bangkok. Two out of eleven districts of the province were randomly selected. Approximatly 500 stage 3–4 CKD patients from 2 districts were enrolled. Patients in both groups will be treated with standard guidelines. The patients in intervention group were provided the additional treatments by multidisciplinary team in conjunction with community CKD care network (subdistrict health care officers and VHVs) which will provide group counseling during each hospital visit and quarterly home visits to monitor dietary protein and sodium intake, blood pressure measurement and drug compliance. Duration of the study is 2 years. The primary outcome is the difference of rate of eGFR decline. The secondary outcomes are laboratory parameters and incidence of clinical endpoints such as mortality rate and cardiovascular events, end-stage renal disease (ESRD), etc.

Discussion

Insights of this study may set forth a new standard of community-based CKD care.

Trial registration

NCT01978951.

【 授权许可】

   
2014 Jiamjariyaporn et al.; licensee BioMed Central Ltd.

【 图 表 】

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