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TransplantsNCT03610555

Creating a Patient-centered Report Card for Solid Organ Transplant Candidates

A study testing Intervention 1 - SRTR (age question 1st), Intervention 2 - SRTR (BMI question 1st) and Intervention 3 - TCST (age question 1st) in people with Transplants, run by Ajay Israni, MD at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Choosing a transplant center that will accept a particular candidate can be difficult and challenging for patients with end-stage organ failure. As transplant centers have varying levels of expertise, interests, and outcomes of solid organ transplant, patient health-related characteristics influence the variation in… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Transplants
What is being tested?
Intervention 1 - SRTR (age question 1st), Intervention 2 - SRTR (BMI question 1st) and Intervention 3 - TCST (age question 1st)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
268 participants
Where
1 siteUnited States
Study dates
1 Nov 2016to 1 Apr 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All adults seeking a kidney transplant are eligible for the RCT. We will focus on recruiting kidney waitlist candidates.

Who cannot join

  • are inability to speak or understand English, visual impairment, and inability to give consent. All vulnerable populations except for those listed in the table titled vulnerable populations, will be excluded.
  • .
  • .

Trial locations and contacts

1 site in 1 country.

United States1 site
  • HCMC

    Minneapolis, Minnesota, 55415

Other trials in United States

About this study

Choosing a transplant center that will accept a particular candidate can be difficult and challenging for patients with end-stage organ failure. As transplant centers have varying levels of expertise, interests, and outcomes of solid organ transplant, patient health-related characteristics influence the variation in candidates centers will accept. Most transplant candidates undergo waitlist work-ups as outpatients and many undergo transplant at centers not closest to their homes. Some are listed at more than one center. Several studies suggest that patients have a choice of centers. The PI, as Deputy Director of the Scientific Registry of Transplant Recipients (SRTR), provides comparative information to the public about each solid organ transplant center in the United States. The risk adjusted outcomes, in the report cards, account for the transplant recipient's health-related characteristics, donor characteristics and transplant related factors. Unfortunately, in their current format, the report cards are not designed for transplant candidates, many of whom may have low health literacy and numeracy.

The proposed work aims to develop and evaluate a patient-centered website and printouts of the SRTR report cards that will effectively communicate comparative information to transplant candidates about their alternatives when choosing transplant centers. We will develop a novel tool to allow candidates to tailor the report cards to their clinical profiles based on their health-related characteristics and to communicate information on alternative transplant centers that perform transplants in patients like them. Aim 1 will use focus groups to determine which transplant center characteristics to present to transplant candidates and how to present these characteristics clearly in a patient centered report card. Using this information, Aim 2 will develop a patient-centered website and printouts of the SRTR report card that effectively communicate comparative information about transplant centers to transplant candidates. Lastly, Aim 3 will conduct a randomized clinical trial to evaluate the effectiveness of the patient centered SRTR report card. We will determine transplant candidates' comprehension and the value of the comparative quality reports, and the effect on clinical decision making and status on the waiting list. After the RCT, a convenience sample of online visitors to the new website will be assessed for similar outcomes.

Read the detailed description

Before the intervention, the study design with use of hypothetical scenarios will be explained to the participant. The concept of randomization will be also be explained. The participants will be asked a few questions to assess their understanding of the study design, specifically the hypothetical nature of the scenarios. We will also assess whether they understand the concept of being randomized to see one website first and then the other. Only those participants that understand the study design will be invited to participate in the intervention and will be randomized. For subjects that are randomized, a survey will be administered verbally to collect demographic information and information about their kidney disease and comorbidities. The functional health literacy and numeracy assessment and health status questionnaire will be completed. Subjects will be stratified by the transplant center site and then block randomized. One group will be shown the existing SRTR website with its existing SRTR report cards and then the website with the new patient-centered AHRQ report cards for kidney transplants. The other group will be shown the two websites in opposite order. Each participant will have at most 30 minutes to view each of the websites. After viewing each website, responses to the intervention will be collected. Sessions where participants are reviewing the websites will be recorded using Zoom. Figure 2 shows the study design whereby subjects will be block randomized once to one of the four groups consisting of 18 subjects each. At the end of the study, the patients will have access to both the websites.

The study interventions can be administered in person on a laptop. During the COVID-19 pandemic, the intervention can be administered remotely via email and zoom. The link to the websites will be sent via encrypted email and the intervention will be recorded via zoom. The recordings for subjects at Hennepin Healthcare will be stored on computers at that site.

If participant does not have your own electronic device or internet, the study will send the participant a study iPad with internet that participant can use for the intervention and then to send back to the study team. We will provide detailed instructions on how to use the iPad and Zoom application. The study will also pay for a FedEx pick up from the participants' home to return the iPad to the study team after the completion of the intervention.

Conditions
Transplants
Being tested
Intervention 1 - SRTR (age question 1st), Intervention 2 - SRTR (BMI question 1st), Intervention 3 - TCST (age question 1st), Intervention 4 - TCST (BMI question 1st)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intervention 1 - SRTR (age question 1st)Other

    Participants first viewed the SRTR website to answer Question 1 (Which transplant program within a prespecified area had the most recipients over 70 years of age?). Subsequently, participants crossed over to view the TCST website to answer Question 2 (Which program within a prespecified area had the most recipients with BMI >40?)

  • Intervention 2 - SRTR (BMI question 1st)Other

    Participants first viewed the SRTR website to answer Question 2. Subsequently, participants crossed over to view the TCST website to answer Question 1.

  • Intervention 3 - TCST (age question 1st)Other

    Participants first viewed the TCST website to answer Question 1. Subsequently, participants crossed over to view the SRTR website to answer Question 2.

  • Intervention 4 - TCST (BMI question 1st)Other

    Participants first viewed the TCST website to answer Question 2. Subsequently, participants crossed over to view the SRTR website to answer Question 1.

Study groups in NCT03610555
Study groupRoleWhat they receive
Arm 1OtherSequence 1: SRTR then TCST (Question 1 then Question 2)
Receives: Other: Intervention 1 - SRTR (age question 1st)
Arm 2OtherSequence 2: SRTR then TCST (Question 2 then Question 1)
Receives: Other: Intervention 2 - SRTR (BMI question 1st)
Arm 3OtherSequence 3: TCST then SRTR (Question 1 then Question 2)
Receives: Other: Intervention 3 - TCST (age question 1st)
Arm 4OtherSequence 4: TCST then SRTR (Question 2 then Question 1)
Receives: Other: Intervention 4 - TCST (BMI question 1st)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Correct Response to Question 1 and 2

    The primary outcome is the comprehension of the report card. To assess comprehension, the correct response to the following question will be assessed, "Which transplant program within a prespecified area had the most recipients over 70 years of age; and which programs had the most recipients with BMI >40"

    Measured: 30 minutes

Secondary outcomes (2)
  1. Perceived Value of Information

    Perceived value of information will be determined via patient responses to the following question, "How useful is the information in the report card in helping you choose a transplant center for you or your family?" Response choices to the questions will be based on a 5-point Likert-type scale (1 = extremely useful to 5 = not useful at all; score 1 indicates the better outcome and score 5 indicates worse outcome).

    Measured: 30 minutes

  2. Measurement of Satisfaction With Decision Making

    We measured satisfaction with decision-making and decisional conflict using the Ottawa Decisional Conflict Scale (DCS). Participants were asked to answer four items to assess satisfaction with decision making. These four items are: a) summed; b) divided by 4; and c) multiplied by 25. Scores ranges from 0 [great satisfaction] to 100 [lower satisfaction].

    Measured: 30 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2018
  2. Study start1 Nov 2016
  3. Primary completion1 Apr 2023
  4. Study completion1 Apr 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Crossover
Model description
Participants were stratified by transplant center site and block randomized to one of the four groups using permuted block randomization with blocks of size four. * Arm 1: SRTR website first, Question 1 first * Arm 2: SRTR website first, Question 2 first * Arm 3: TCST first, Question 1 first * Arm 4: TCST first, Question 2 first
Masking
Single blind
Who is masked
Participant
Enrolment
268 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03610555
Sponsor's protocol ID
HSR#16-4130
Status last verified
Dec 2025
First submitted
15 Jun 2018
Last updated
16 Dec 2025
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Israni AK, Schladt D, Bruin MJ, Chu S, Snyder JJ, Hertz M, Valapour M, Kasiske B, McKinney WT, Schaffhausen CR. Deconstructing Silos of Knowledge Around Lung Transplantation to Support Patients: A Patient-specific Search of Scientific Registry of Transplant Recipients Data. Transplantation. 2022 Aug 1;106(8):1517-1519. doi: 10.1097/TP.0000000000004051. Epub 2022 Feb 11. No abstract available.

    PubMed 35152256
  • Chu S, Bruin MJ, McKinney WT, Israni AK, Schaffhausen CR. Design of a patient-centered decision support tool when selecting an organ transplant center. PLoS One. 2021 May 17;16(5):e0251102. doi: 10.1371/journal.pone.0251102. eCollection 2021.

    PubMed 33999964
  • McKinney WT, Schaffhausen CR, Schladt D, Bruin MJ, Chu S, Snyder JJ, Martin C, Alexy T, Kasiske B, Israni AK. Designing a patient-specific search of transplant program performance and outcomes: Feedback from heart transplant candidates and recipients. Clin Transplant. 2021 Feb;35(2):e14183. doi: 10.1111/ctr.14183. Epub 2020 Dec 19.

    PubMed 33617066
  • McKinney WT, Schaffhausen CR, Bruin MJ, Chu S, Schladt D, Matas A, Snyder J, Kasiske B, Israni AK. Development of a Patient-specific Search of Transplant Program Outcomes and Characteristics: Feedback From Kidney Transplant Patients. Transplant Direct. 2020 Jul 17;6(8):e585. doi: 10.1097/TXD.0000000000001036. eCollection 2020 Aug.

    PubMed 32766433
  • Schaffhausen CR, Bruin MJ, McKinney WT, Snyder JJ, Matas AJ, Kasiske BL, Israni AK. How patients choose kidney transplant centers: A qualitative study of patient experiences. Clin Transplant. 2019 May;33(5):e13523. doi: 10.1111/ctr.13523. Epub 2019 Apr 21.

    PubMed 30861199
  • Schaffhausen CR, Bruin MJ, Chu S, Wey A, McKinney WT, Snyder JJ, Lake JR, Matas AJ, Kasiske BL, Israni AK. Comparing Pretransplant and Posttransplant Outcomes When Choosing a Transplant Center: Focus Groups and a Randomized Survey. Transplantation. 2020 Jan;104(1):201-210. doi: 10.1097/TP.0000000000002809.

    PubMed 31283676
  • McKinney WT, Israni K, Schaffhausen CR, Schladt DP, Lyden GR, Matas A, Wolf J, Japuntich S, Israni AK. Randomized Controlled Trial to Evaluate a New Tool to Support Patient Decision-making on Transplant Centers. Clin Transplant. 2024 Dec;38(12):e70043. doi: 10.1111/ctr.70043.

    PubMed 39620865

Questions about this trial

What is this clinical trial studying?

A study testing Intervention 1 - SRTR (age question 1st), Intervention 2 - SRTR (BMI question 1st) and Intervention 3 - TCST (age question 1st) in people with Transplants, run by Ajay Israni, MD at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Dec 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Correct Response to Question 1 and 2 (time frame: 30 minutes). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03610555, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Dec 2025.

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