Video Images About Decisions for Ethical Outcomes in Kidney Disease (VIDEO-KD): the Study Protocol for a Multi-centre Randomised Controlled Trial

Overview

Journal BMJ Open

Specialty General Medicine

Date 2022 Apr 9

PMID 35396311

Authors

Nwamaka D Eneanya

Joshua R Lakin

Michael K Paasche-Orlow

Charlotta Lindvall

Edward T Moseley

Lori Henault

Amresh D Hanchate

Ernest I Mandel

Susan P Y Wong

Sophia N Zupanc

Aretha Delight Davis

Areej El-Jawahri

Lisa M Quintiliani

Yuchiao Chang

Sushrut S Waikar

Amar D Bansal

Jane O Schell

Andrew L Lundquist

Manjula Kurella Tamura

Margaret K Yu

Mark L Unruh

Christos Argyropoulos

Michael J Germain

Angelo Volandes

Affiliations

Soon will be listed here.

Abstract

Introduction: Older patients with advanced chronic kidney disease (CKD) often are inadequately prepared to make informed decisions about treatments including dialysis and cardiopulmonary resuscitation. Further, evidence shows that patients with advanced CKD do not commonly engage in advance care planning (ACP), may suffer from poor quality of life, and may be exposed to end-of-life care that is not concordant with their goals. We aim to study the effectiveness of a video intervention on ACP, treatment preferences and other patient-reported outcomes.

Methods And Analysis: The Video Images about Decisions for Ethical Outcomes in Kidney Disease trial is a multi-centre randomised controlled trial that will test the effectiveness of an intervention that includes a CKD-related video decision aid followed by recording personal video declarations about goals of care and treatment preferences in older adults with advancing CKD. We aim to enrol 600 patients over 5 years at 10 sites.

Ethics And Dissemination: Regulatory and ethical aspects of this trial include a single Institutional Review Board mechanism for approval, data use agreements among sites, and a Data Safety and Monitoring Board. We intend to disseminate findings at national meetings and publish our results.

Trial Registration Number: NCT04347629.

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