Optimizing Referral Pathways for Patients With Hematuria and Moderate-Severe Proteinuria

Part of paid clinical trials in Danville, Pennsylvania.

Sponsor
Geisinger Clinic
Study ID
NCT07431931
Status
Not Yet Recruiting

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Conditions

  • Glomerulonephritis
  • Hematuria
  • Kidney Disease
  • Proteinuria
  • Referral and Consultation

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Electronic Health Record alert — OTHER
    The EHR alert will open upon logging into patient's chart. It will display relevant information about hematuria (dipstick blood), urine microscopy (if available), proteinuria (ACR, PCR, dipstick protein), most recent (if ever) nephrology visit, and most recent (if ever) urology visit. The EHR alert will provide a preselected order button for a nephrology referral with the indication pre-filled out. It will also provide options to order confirmatory urinalysis with microscopy testing and an option to refer to urology. The provider will have an option to deselect the nephrology referral, which will prompt reasons for not ordering the referral: "Not appropriate"; "already seeing a nephrologist"; "palliative care"; "patient refuses"; "Other (document)". The alert will not be a hard-stop in the chart.

Study Details

The purpose of the study is to evaluate prospectively the impact of an electronic health record (EHR) alert on primary care providers' (PCP) referral to Nephrology of Geisinger patients with high risk signs (blood and protein in the urine) of glomerulonephritis. This will help quantify the relative effectiveness of EHR alerts on PCPs' referral patterns.

Key Dates

Start date
Nov 30, 2026
Status verified
May 2026
Primary completion
Dec 31, 2027
Completion
Dec 31, 2027

Study Design

Enrollment
1,200 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING

Arms

  • Experimental: Patients randomized to have PCP receive EHR Alert
  • No Intervention: Patients receiving usual care
    Patient will receive usual care

Primary Outcome Measure

Referral to Nephrology [ Time Frame: Within One month of index PCP visit ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Geisinger Medical CenterDanvillePennsylvania17822-

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By research site
Geisinger Medical Center· Danville, PA

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