Home-based conservative care for advanced kidney disease in older adults
Official title: Home-based conservative care model for advanced kidney disease
Funded at VA Puget Sound Healthcare System · NIH-11469481 · Data updated 2026-11-12
A patient-friendly look at a program that uses home-based, multidisciplinary care to support older Veterans with advanced kidney disease who choose to avoid dialysis.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | VA Puget Sound Healthcare System NIH-funded |
| Lab location | 1 site (Seattle, United States) |
| Project start | July 1, 2023 |
| Project end | September 30, 2027 |
| Funding year | 2026 |
| NIH project number | 5I01HX003446-04 |
| Project ID | NIH-11469481 on NIH RePORTER |
Who could benefit from this research
✓Could help
Older Veterans (65+) with advanced CKD who are contemplating or currently avoiding dialysis and may benefit from home-based, multidisciplinary care.
✕Less likely to help
Patients without significant functional limitations or those preferring traditional clinic-based care may not realize additional benefit.
What this research studies
This project aims to bring comprehensive, home-based care to Veterans aged 65 and older with advanced CKD who decide against routine dialysis. It builds on existing home-based primary care teams to coordinate symptom management, advance care planning, and palliative support in the patient’s home. The approach focuses on slowing disease progression and improving quality of life through a team of clinicians, nurses, and other professionals working together. Participation would involve real-world care delivery and coordination with Veterans’ healthcare providers to tailor treatment to individual needs.
Why it matters
Potential benefit: If successful, patients could experience better symptom relief, clearer goals of care, and improved quality of life without dialysis.
How similar studies have gone: Preliminary observational work in other countries suggests CKD patients can benefit from patient-centered, palliative-aligned care, but this specific home-based program in the VA context is novel.
Where this research is happening
-
VA Puget Sound Healthcare System
Seattle, United States Active
Researchers
- Principal investigator: Butler, Catherine R — VA Puget Sound Healthcare System
- Study coordinator: Butler, Catherine R
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.