Study protocol for The GOAL Trial: comprehensive geriatric assessment for frail older people with chronic kidney disease to increase attainment of patient-identified goals—a cluster randomised controlled trial ...

• Main Authors: Logan, B, Viecelli, AK, Johnson, DW, Aquino, EM, Bailey, J, Comans, TA, Gray, LC, Hawley, CM, Hickey, LE, Janda, M, Jaure, A, Jose, MD, Kalaw, E, Kiriwandeniya, C, Matsuyama, M, Mihala, G, Nguyen, KH, Pascoe, E, Pole, JD, Polkinghorne, KR, Pond, D, Raj, R, Reidlinger, DM, Scholes-Robertson, N, Varghese, J, Wong, G, Hubbard, RE
• Format: Article in Journal/Newspaper
• Language: unknown
• Published: figshare 2024
• Subjects: Medicine; Biotechnology; Cancer; Science Policy; Infectious Diseases; FOS: Health sciences; First Nations
• Online Access: https://dx.doi.org/10.6084/m9.figshare.c.6671621.v1; https://springernature.figshare.com/collections/Study_protocol_for_The_GOAL_Trial_comprehensive_geriatric_assessment_for_frail_older_people_with_chronic_kidney_disease_to_increase_attainment_of_patient-identified_goals_a_cluster_randomised_controlled_trial/6671621/1

Abstract Background An increasing number of older people are living with chronic kidney disease (CKD). Many have complex healthcare needs and are at risk of deteriorating health and functional status, which can adversely affect their quality of life. Comprehensive geriatric assessment (CGA) is an effective intervention to improve survival and independence of older people, but its clinical utility and cost-effectiveness in frail older people living with CKD is unknown. Methods The GOAL Trial is a pragmatic, multi-centre, open-label, superiority, cluster randomised controlled trial developed by consumers, clinicians, and researchers. It has a two-arm design, CGA compared with standard care, with 1:1 allocation of a total of 16 clusters. Within each cluster, study participants ≥ 65 years of age (or ≥ 55 years if Aboriginal or Torres Strait Islander (First Nations Australians)) with CKD stage 3–5/5D who are frail, measured by a Frailty Index (FI) of > 0.25, are recruited. Participants in intervention clusters ...