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CTRI Number  CTRI/2024/04/066100 [Registered on: 23/04/2024] Trial Registered Prospectively
Last Modified On: 19/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Studying how patients who fail to follow the appointments affect healthcare at a specialized hospital. 
Scientific Title of Study   Assessment of lost-to follow-up patient on healthcare delivery and outcomes in a tertiary care center. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vrindha K V 
Designation  Post Graduate 
Affiliation  Manipal Academy of Higher Education 
Address  Department of Health information management ,Manipal College of Health Professions, Manipal Academy of Higher Education

Udupi
KARNATAKA
576104
India 
Phone  08778761802  
Fax    
Email  vrindha.mchpmpl2022@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Reshmi B 
Designation  Additional Professor and Head 
Affiliation  Manipal Academy of Higher Education 
Address  Dept. of Health Information Management, Manipal College of Health Professions, Manipal Academy of Higher Education

Udupi
KARNATAKA
576104
India 
Phone  9880530701  
Fax    
Email  reshmi.b@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Partha Protim Hazarika 
Designation  Assistant Professor 
Affiliation  Manipal Academy of Higher Education 
Address  Dept. of Health Information Management, Manipal College of Health Professions, Manipal Academy of Higher Education

Udupi
KARNATAKA
576104
India 
Phone  8451012070  
Fax    
Email  partha.hazarika@manipal.edu  
 
Source of Monetary or Material Support  
Manipal Academy of Higher Education,Tiger Circle Road, Madhav Nagar, Manipal, Karnataka 576104, India 
 
Primary Sponsor  
Name  Vrindha K V 
Address  Department of Health information management , Manipal College of Health Professions , Manipal Academy of Higher Education 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Vrindha K V  Kasturba Hospital, Manipal  Room No:15,Department of Nephrology, Kasturba Hospital,Madhav Nagar, Manipal, Karnataka 576104
Udupi
KARNATAKA 
08778761802

vrindha.mchpmpl2022@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N182||Chronic kidney disease, stage 2 (mild), (2) ICD-10 Condition: N183||Chronic kidney disease, stage 3 (moderate), (3) ICD-10 Condition: N184||Chronic kidney disease, stage 4 (severe), (4) ICD-10 Condition: N185||Chronic kidney disease, stage 5,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil   Nil 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Lost-to follow-up patient data, Nephrology- Chronic kidney disease
Doctors, nurses, and patients 
 
ExclusionCriteria 
Details  Nonscheduled or walk in patients
Those who are not directly involved in follow-up care.
Patients with incomplete or missing contact details in the EMR 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
1.Improve Patient engagement and enhance healthcare delivery
2.Improved Patient Compliance
3.Quality Improvement initiatives 
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

 For phase 1, electronic medical records data from the MRD and IT department are gathered from the year 2021-2023 recruited based on the inclusion and exclusion criteria. Calculation of the percentage of lost to follow up appointments based on the data collected in the excel format is done. Further collected data is analyzed using Jamovi. For phase 2, In depth interviews will be carried out among the doctors and nurses in the chosen departments. Telephonic interviews will be conducted with patients who lost-to follow-up. In-depth interviews with doctors and nurses will be recorded after getting the prior consent. On the other hand, in case of patient’s interviews, conversation will be recorded, and consent will be taken verbally for the same. Further data would be analyzed using ATLAS-TI/ MAXQDA to identify the impact and barriers that result to patients lost-to follow up.

 
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