Table 4.
Outcome | Measures | Level of analysis | Data sources | Timepoints |
---|---|---|---|---|
Primary Outcome | ||||
Safety | All-cause ED visits, hospitalizations or death | Patient | Patient’s EMR (dialysis and hospital EMR) | Enrollment to end-of-study event |
Main Secondary Outcomes | ||||
Health-related quality of life | aIllness Intrusiveness Rating Scale | Patient | Patient | Baselineb and monthly |
EuroQOL-5D-5L score | Patient | Patient | Baselineb and semi-annuallyc | |
Employment status | Patient & Care partner | Patient & Care partner | ||
Hospital-free days per 100 patient-days | Patient | Patient’s EMR (dialysis and hospital EMR) | Enrollment to end-of-study event | |
Residual kidney function | aChange in urine output (mL/24 h) | Patient | Patient | Baselineb and every 3 months or more often when needed |
Change in kidney urea clearance (mL/min/1.73 m2) | Patient | Patient | ||
Change in kidney creatinine clearance (mL/min/1.73 m2) | Patient | Patient | ||
Other Secondary Outcomes | ||||
Care partner burden | Zarit Caregivers Burden Scale | Caregiver | Caregiver | Baseline and semi-annually |
Functional status and fatigue | Time to recover from HD | Patient | Patient | Baselineb and monthly |
SONG-HD Fatigue score | Patient | Patient | Baselineb and semi-annuallyc | |
Cognitive function | Trail Making Test Part B score | Patient | Patient | Baselineb and semi-annuallyc |
Volume management |
Interdialytic weight gain; Residual weight; Ultrafiltration rate (mL/kg/hour) |
Patient | Patient’s EMR (dialysis and hospital EMR) | Baselineb and monthly |
Blood pressure control | Average pre- and post- dialysis blood pressure; Number of prescribed antihypertensive agents | Patient | Patient’s EMR (dialysis and hospital EMR) | Baselineb and monthly |
Solute clearance, electrolyte and acid-base homeostasis | Total stdKt/V; Pre-HD serum sodium, potassium, and bicarbonate | Patient | Patient’s EMR (dialysis and hospital EMR) | Baselineb and monthly |
Nutrition | Serum albumin concentration; Normalized protein catabolic rate | Patient | Patient’s EMR (dialysis and hospital EMR) | Baselineb and monthly |
aMain secondary outcomes
bPre-randomization
cSemi-annually: months 6, 12, 18, and 24 of study participation. EMR, electronic medical record