[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100626153":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":11,"centralContacts":23,"locations":29,"responsibleParty":43,"collaborators":45,"id":49,"slug":50,"hasResults":51,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":11,"eligibilityCriteria":55,"healthyVolunteers":51,"sex":56,"minAge":57,"maxAge":11,"enrollmentInfo":58,"targetDuration":11,"studyType":61,"phases":62,"briefSummary":64,"conditions":65,"keywords":71,"overallStatus":73,"whyStopped":11,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":78,"completionDateStruct":80,"leadSponsor":82,"locationsCount":83},{"fullName":5,"class":6},"Geisinger Clinic","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Patients randomized to have PCP receive EHR Alert","EXPERIMENTAL",null,[13],"Other: Electronic Health Record alert",{"label":15,"type":16,"description":17,"interventionNames":11},"Patients receiving usual care","NO_INTERVENTION","Patient will receive usual care",[19],{"type":6,"name":20,"description":21,"armGroupLabels":22,"otherNames":11},"Electronic Health Record alert","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.",[9],[24],{"name":25,"role":26,"phone":27,"phoneExt":11,"email":28},"Alexander Chang, MD","CONTACT","570-214-3156","achang@geisinger.edu",[30],{"facility":31,"status":11,"city":32,"state":33,"zip":34,"country":35,"countryCode":36,"cosmosGeoPoint":37,"geoPoint":42,"contacts":11},"Geisinger Medical Center","Danville","Pennsylvania","17822","United States","US",{"type":38,"coordinates":39},"Point",[40,41],-76.61273,40.96342,{"lat":41,"lon":40},{"type":44,"investigatorFullName":11,"investigatorTitle":11,"investigatorAffiliation":11,"oldNameTitle":11,"oldOrganization":11},"SPONSOR",[46],{"name":47,"class":48},"Novartis","INDUSTRY","100626153","optimizing-referral-pathways-for-patients-with-hematuria-and-moderate-severe-proteinuria-100626153",false,"NCT07431931","Optimizing Referral Pathways for Patients With Hematuria and Moderate-Severe Proteinuria","Optimizing Referral Pathways for Patients With Hematuria and Moderate-Severe Proteinuria - Phase 2: A Quality Improvement Project","Inclusion Criteria:\n\n* Adults aged ≥18 years\n* Patients receiving care from any Geisinger primary care provider (record of an encounter with a Geisinger PCP within the last 2 years from date of survey implementation)\n* Patients with high-risk glomerulonephritis features i.e. positive test results for hematuria (urine dipstick result with blood 1+ or greater) and proteinuria (2+ or 3+ protein on dipstick or ACR≥300 mg\u002Fg or PCR ≥500 mg\u002Fg) collected within 12 months of index date.\n\nExclusion Criteria:\n\n* Patients with a nephrologist appointment in the last 12 months before the index date\n* Patients with a prior appointment with a nephrologist within the last 2 years before the positive urinalysis test for hematuria (1+ or greater)\n* Patients with a history of glomerulonephritis and\u002For kidney failure (dialysis or eGFR \\\u003C 15 mL\u002Fmin\u002F1.73m2, or kidney transplantation) at any time during the baseline\n* Patients receiving palliative care at any time during the baseline","ALL","18 Years",{"count":59,"type":60},1200,"ESTIMATED","INTERVENTIONAL",[63],"NA","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.",[66,67,68,69,70],"Referral and Consultation","Glomerulonephritis","Hematuria","Proteinuria","Kidney Disease",[72],"Hematuria; Proteinuria; Albuminuria; Glomerulonephritis; Clinical Decision Support; EHR Alert; Referral; Nephrology","NOT_YET_RECRUITING","2026-05-07",{"date":76,"type":77},"2026-05-12","ACTUAL",{"date":79,"type":60},"2026-11",{"date":81,"type":60},"2027-12",{"name":5,"class":6},1]