- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07754097
Self-Management Data and Disease Progression in Chronic Kidney Disease
A Non-Interventional, Prospective Observational Study to Evaluate Disease Progression and Management Characteristics for the Development of an Integrated Self-Management Data Application in Chronic Kidney Disease
This study evaluates disease progression and management characteristics in patients with chronic kidney disease (CKD) using an integrated mobile application and hospital information system (HIS) clinical data.
The main goals of this study are:
- To observe patient self-management recording performance and adherence (continuity of recording blood pressure, blood glucose, medication, and diet).
- To explore associations between integrated self-management data and disease progression or acute exacerbations (e.g., acute kidney injury, hyperkalemia).
- To gather foundational evidence for optimizing and improving future digital health applications for CKD management.
Participants will be recruited from outpatient clinics at Chungnam National University Hospital and followed prospectively for 1 year with regular follow-up visits.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
This is a single-center, non-interventional, prospective observational study designed to collect clinical laboratory data and patient-generated self-management records in adults requiring chronic kidney disease (CKD) management.
Participants will undergo prospective observation for 1 year, involving 7 scheduled regular outpatient visits at 2-month intervals.
Data Collection:
- Patient-Generated Data: Participants will record home blood pressure (twice daily), blood glucose (twice daily, if applicable), medication intake, and diet logs (photographs taken 5 days prior to each visit) via a mobile application.
- Clinical Data: Clinical metrics including blood pressure, body weight, height, body mass index (BMI), routine lab results (chemistry, hematology, urinalysis), body composition analysis (BIA), ECG, and medication history will be extracted from the hospital information system (HIS). All clinical evaluations follow routine standard-of-care procedures, with no additional research-specific invasive procedures performed.
- User Experience: Satisfaction surveys regarding the CKD management app will be administered at 4, 8, and 12 months.
Statistical Analysis:
Continuous variables will be analyzed using one-way ANOVA, and categorical variables will be evaluated using chi-square tests. Associations between self-management adherence patterns, clinical metrics, and disease progression will be assessed.
Tipo de estudio
Inscripción (Estimado)
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Dae Eun Choi
- Número de teléfono: +82-42-280-7141
- Correo electrónico: daenii123@gmail.com
Ubicaciones de estudio
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DJ
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Daejeon, DJ, Corea del Sur, 35015
- Reclutamiento
- Chungnam National University Hospital
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Contacto:
- Kyungho Park
- Número de teléfono: +82-10-6485-7550
- Correo electrónico: ds3ixc@gmail.com
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Método de muestreo
Población de estudio
Descripción
Inclusion Criteria:
- Adult patients aged 19 years or older and under 85 years.
- Patients visiting the hospital for chronic kidney disease (CKD) management.
- Patients diagnosed with CKD or identified as high-risk for CKD requiring continuous management (e.g., diabetes mellitus, hypertension, proteinuria, or decreased eGFR).
- Patients capable of recording self-management data (blood pressure, diet, medication) independently or with assistance through the provided mobile application.
- Patients whose clinical data can be collected from the Hospital Information System (HIS).
Exclusion Criteria:
- Patients who do not sign the informed consent form or lack the capacity to fully understand the study protocol and express voluntary consent.
- Patients currently undergoing maintenance dialysis (hemodialysis or peritoneal dialysis) for end-stage kidney disease (ESKD).
- Patients deemed unsuitable for participation in the study by the investigator.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
Cohortes e Intervenciones
Grupo / Cohorte |
Intervención / Tratamiento |
|---|---|
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CKD Patient Cohort
Adult patients with chronic kidney disease (CKD) or at high risk of CKD attending outpatient clinics.
All participants will log self-management data (home blood pressure, blood glucose, medication, diet) via a dedicated mobile app and undergo prospective observation for 1 year with routine clinical data collection from the hospital information system.
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A mobile application used by participants to log home blood pressure (twice daily), blood glucose (twice daily, if applicable), medication adherence, and meal photographs (5 days prior to visits).
The application also integrates with the hospital information system (HIS) to provide lab test results for disease monitoring.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Self-Management Data Recording Adherence and Quality
Periodo de tiempo: Up to 12 months (evaluated at Visit 1 through Visit 7 at 2-month intervals)
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Continuity and completion rate of patient-entered self-management logs, including home blood pressure (twice daily), blood glucose (twice daily, if applicable), medication adherence, and meal photographs.
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Up to 12 months (evaluated at Visit 1 through Visit 7 at 2-month intervals)
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Association Between Self-Management Adherence and Clinical Metrics
Periodo de tiempo: Up to 12 months
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Change in clinical parameters extracted from the Hospital Information System (HIS), including laboratory values (eGFR, serum potassium, urinalysis), blood pressure, and body composition analysis (BIA), to evaluate disease progression and acute exacerbations.
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Up to 12 months
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User Satisfaction with the CKD Self-Management Mobile Application
Periodo de tiempo: At 4, 8, and 12 months
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Patient satisfaction scores regarding app usability and feature feasibility, assessed using a structured questionnaire.
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At 4, 8, and 12 months
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Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Enfermedades urogenitales
- Procesos Patológicos
- Enfermedades urogenitales masculinas
- Enfermedades Renales
- Enfermedades urológicas
- Enfermedades urogenitales femeninas
- Enfermedades urogenitales femeninas y complicaciones del embarazo
- Enfermedad crónica
- Atributos de la enfermedad
- Insuficiencia renal
- Condiciones Patológicas, Signos y Síntomas
- Insuficiencia Renal Crónica
Otros números de identificación del estudio
- CNUH 2026-05-025
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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