Trial Summary
What is the purpose of this trial?This project will study how kidney care for everyone despite race can reduce racial differences in care and improve access to kidney transplants, and specifically living donor kidney transplants (LDKT), for individuals with chronic kidney disease. A study focused on equality and patient needs (called 'STEPS') will 1) create a program to identify people who may need a kidney transplant ('STEPS Surveillance') and find people in health systems who may be able to receive kidney transplants early in their care and (2) study how well the 'STEPS Outreach' program works (comprised of transplant social workers and transplant coordinators who focus on equality and patient needs) compared to usual care to improve access to kidney transplants among Black and non-Black individuals as well as to improve access to transplants for everyone.
Eligibility Criteria
The STEPS study is for English-speaking adults aged 18 to 75 with chronic kidney disease (CKD), specifically those not on dialysis, without a prior kidney transplant, and not currently waitlisted for one. Participants must be able to hear and understand phone conversations and consent to the study's procedures.Inclusion Criteria
I can understand and agree to the study's details verbally.
English speaking with adequate ability to hear and understand questions over the phone
I have chronic kidney disease with specific test results showing reduced kidney function.
+2 more
Exclusion Criteria
I am younger than 18 or older than 75.
You are no longer alive.
I am currently on dialysis.
+6 more
Participant Groups
The trial tests a 'STEPS Health System Outreach' intervention aimed at reducing racial disparities in kidney care. It includes identifying patients early who may need transplants and comparing the effectiveness of an outreach program against usual care in improving access to transplants.
2Treatment groups
Experimental Treatment
Active Control
Group I: STEPS Health System Surveillance and Outreach interventionExperimental Treatment1 Intervention
Group II: Usual Kidney CareActive Control1 Intervention
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Wake Forest University Health SciencesWinston-Salem, NC
Duke UniversityDurham, NC
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Who Is Running the Clinical Trial?
Wake Forest University Health SciencesLead Sponsor
Duke UniversityLead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Collaborator
Geisinger ClinicCollaborator
Patient-Centered Outcomes Research InstituteCollaborator
Northwell HealthCollaborator
University of Mississippi Medical CenterCollaborator