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. 2022 Apr 8;12(4):e059313.
doi: 10.1136/bmjopen-2021-059313.

Video Images about Decisions for Ethical Outcomes in Kidney Disease (VIDEO-KD): the study protocol for a multi-centre randomised controlled trial

Nwamaka D Eneanya  1   2 , Joshua R Lakin  3   4 , Michael K Paasche-Orlow  5 , Charlotta Lindvall  4 , Edward T Moseley  4 , Lori Henault  5 , Amresh D Hanchate  6 , Ernest I Mandel  7   8 , Susan P Y Wong  9 , Sophia N Zupanc  4 , Aretha Delight Davis  10 , Areej El-Jawahri  7   11 , Lisa M Quintiliani  5 , Yuchiao Chang  7   11 , Sushrut S Waikar  12 , Amar D Bansal  13 , Jane O Schell  13 , Andrew L Lundquist  7   11 , Manjula Kurella Tamura  14 , Margaret K Yu  15 , Mark L Unruh  16 , Christos Argyropoulos  17 , Michael J Germain  18 , Angelo Volandes  7   10   11
Affiliations

Video Images about Decisions for Ethical Outcomes in Kidney Disease (VIDEO-KD): the study protocol for a multi-centre randomised controlled trial

Nwamaka D Eneanya et al. BMJ Open. .

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.

Keywords: chronic renal failure; dialysis; end stage renal failure; geriatric medicine; nephrology.

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Conflict of interest statement

Competing interests: NE is a scientific advisor for Somatus and Davita. MKT has received honoraria from the American Federation of Aging Research and serves as Associate Editor at CJASN. Views expressed are those of the authors and not necessarily those of the Department of Veterans Affairs. AV has a financial interest in ACP decisions, a non-profit organisation developing advance care planning video decision support tools. AV’s interests were reviewed and are managed by MGH and Mass General Brigham in accordance with their conflict-of-interest policies. No other disclosures to report.

Figures

Figure 1
Figure 1
Sample sizes needed to distinguish utility differences for quality of life.
See this image and copyright information in PMC

References

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