Computer alert aims to catch silent kidney disease in diabetes patients
NCT ID NCT05342545
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This completed trial tested whether an on-screen electronic alert in the doctor's computer system could increase testing for chronic kidney disease (CKD) in people with type 2 diabetes. About 400 patients who hadn't had a key kidney test in the past year took part. The alert reminded doctors to order a urine test to check for early kidney damage, with the goal of catching CKD sooner and improving outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Electronic alert (Best Practice Advisory) in the EPIC health record system
- What this could lead to
- If successful, this alert system could help doctors catch kidney disease earlier in people with type 2 diabetes, leading to better care and lower healthcare costs.
- What could go wrong
- This is a small, single-center study testing a process change, not a new treatment. The alert may not change doctor behavior or improve patient outcomes in the long run.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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400 people
The number who actually took part.
- Started
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Dec 2022
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * BWH outpatients at least 18 years of age who are evaluated in Primary Care or Brigham Medical Specialties Clinics (Cardiovascular Medicine, Endocrinology, and Diabetology) AND * have a diagnosis of T2DM AND * have not had a UACR measured in the past year Exclusion Criteria: * have an established diagnosis of CKD (medical history, problem list, or visit diagnosis entry in the EHR) OR * who are undergoing renal replacement therapy (either hemodialysis or peritoneal dialysis) as UACR will be unlikely to result in diagnosis change or therapeutic intervention OR * who have undergone renal transplantation
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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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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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