More Time Better Outcome - a Randomised Trial to Investigate the Effect of More Dietetic Time in Dialysis Patients

Royal Free Hampstead NHS Trust75 enrolled

Overview

The purpose of this study is to determine whether spending more time with a dietitian will improve dietary compliance in a group of hemodialysis patients, with particular respect to phosphate control.

* randomised prospective controlled trial * stable haemodialysis patients on thrice weekly haemodialysis (URR \> 66%) * either had standard dietetic review - 6 monthly or intensive review - monthly * all patients had to have a serum phosphate \> 1.8 mmol/l over the previous three months to be recruited * study period 6 months, and then patients followed for a further 3 months

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Renal Failure

Interventions

additional review by dieticianBEHAVIORAL

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * stable chronic hemodialysis patients * serum phosphate \> 1.8 mmol/l sustained over 3 months prior to trial entry adequate dialysis treatment as assessed by urea reduction Exclusion Criteria: * pregnancy * unable to give consent * phosphate \< 1.8 mmol/l * inadequate dialysis * aged \< 18 or \> 80 * poor nutritional state * weight loss in proceeding three months

Locations (1)

UCL Center for Nephrology

London, London, United Kingdom

Outcomes

Primary Outcomes

phosphate control

calcium phosphate product

Secondary Outcomes

parathyroid hormone

number and type of phosphate binders prescribed

Data from ClinicalTrials.gov

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