Home-based conservative kidney care for older adults
Official title: Home-based conservative care model for advanced kidney disease
Funded at VA Puget Sound Healthcare System · NIH-11251568 · Data updated 2026-11-12
A home-based program to provide supportive kidney care to older Veterans with advanced chronic kidney disease who prefer not to start 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 | June 30, 2027 |
| Funding year | 2026 |
| NIH project number | 5I01HX003446-03 |
| Project ID | NIH-11251568 on NIH RePORTER |
Who could benefit from this research
✓Could help
Veterans aged about 65 and older with advanced chronic kidney disease who choose not to pursue maintenance dialysis and who can receive VA home-based care are the best fit.
✕Less likely to help
People who need or choose regular dialysis, younger patients without advanced CKD, or individuals not enrolled in VA home-care programs are unlikely to benefit from this program.
What this research studies
This project will adapt the VA’s Home-Based Primary Care (HBPC) team to deliver a whole-person conservative care program for Veterans with advanced kidney disease. Care teams will focus on slowing disease progression where possible, managing symptoms at home, supporting advance care planning, and providing palliative services. Staff will be trained and workflows adjusted so the multidisciplinary team can deliver these services in patients' homes. The goal is to create a practical care option that matches Veterans' goals and could be expanded to other VA sites if it improves quality of life.
Why it matters
Potential benefit: Could help older Veterans manage symptoms, align care with their goals, and potentially avoid or delay burdensome dialysis.
How similar studies have gone: Observational programs in other countries suggest conservative care can offer similar survival and quality-of-life outcomes for some very old, frail patients, but formal VA programs are limited.
Where this research is happening
-
VA Puget Sound Healthcare System
Seattle, United States Active
Researchers
- Principal investigator: Wong, Susan Pamela — VA Puget Sound Healthcare System
- Study coordinator: Wong, Susan Pamela
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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.