New conversation tool aims to improve End-of-Life care for kidney patients
NCT ID NCT04466865
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a communication tool called 'Best Case/Worst Case' for older adults with advanced kidney disease. Doctors were trained to discuss best, worst, and most likely outcomes for treatment options. The goal was to see if this approach helps patients receive more palliative care and make decisions that match their preferences. Over 400 patients from ten clinics took part, with follow-up for up to two years.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- Best Case/Worst Case communication tool training
- What this could lead to
- If this works, it could help doctors and patients have better conversations about treatment choices and end-of-life care, leading to more personalized care plans.
- What could go wrong
- This is a completed study testing a communication method, not a drug or cure. The tool may not change actual care or outcomes, and results may not apply to all settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Columbia University
New York, New York, 10027, United States
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Department of Medicine, University of Vermont
Burlington, Vermont, 05405, United States
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Johns Hopkins University
Baltimore, Maryland, 21287, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Mount Sinai School of Medicine
New York, New York, 10029, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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University of Colorado, Denver
Denver, Colorado, 173364, United States
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University of Michigan
Ann Arbor, Michigan, 48105, United States
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University of Pittsburgh
Pittsburgh, Pennsylvania, 15260, United States
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University of Washington
Seattle, Washington, 98195, United States
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West Virginia University
Morgantown, West Virginia, 26506, United States
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