The goal of this clinical trial is to learn if a kidney transplant-specific comprehensive geriatric assessment (KT-CGA) can improve the way older adults are assessed for kidney transplantation. The main questions it aims to answer are:
Is it feasible and acceptable to deliver a KT-CGA alongside routine transplant assessment in older adults with advanced kidney disease?
What is the effect of KT-CGA on decision-making about transplant listing and on patient-reported outcomes such as quality of life and frailty?
Researchers will compare participants who receive the KT-CGA plus usual care to those who receive usual care alone.
Participants will:
Continue with their usual transplant assessment process
If randomised to the intervention group, also complete the KT-CGA (a structured set of questionnaires, short memory and function tests, and discussions about wellbeing and support needs, taking about 45-60 minutes)
Adults aged 60 years or older
Attending Guy's and St Thomas' (GSTT) Nephrology services
Diagnosed with Chronic Kidney Disease (CKD) Stage 5
Pre-dialysis, or
Adults aged under 60 years
Patients currently attending the Nephrology Supportive Care service at GSTT
Guy's and St Thomas' NHS Foundation Trust
Lead sponsor
King's College London
Collaborator