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Trial · NCT07910968

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProportion of Therapeutic Optimization Opportunities Achieved9 months
Proportion of eligible therapeutic optimization opportunities achieved, defined as the number of achieved opportunities divided by the total number of eligible opportunities. Each therapeutic swap includes two opportunities: discontinuation of a potentially inappropriate medication and initiation of the corresponding evidence-based medication. Individual patients may contribute multiple opportunities.
SecondaryProportion of Implementation Optimization Opportunities Achieved9 months
Proportion of eligible implementation opportunities achieved, defined as the number of achieved opportunities divided by the total number of eligible implementation opportunities. Implementation refers to initiation of the corresponding evidence-based medication. Individual patients may contribute multiple opportunities. This will be assessed overall and by SWAP type.
SecondaryProportion of De-implementation Optimization Opportunities Achieved9 months
Proportion of eligible de-implementation opportunities achieved, defined as the number of achieved opportunities divided by the total number of eligible de-implementation opportunities. De-implementation refers to discontinuation of a potentially inappropriate or harmful medication. Individual patients may contribute multiple opportunities. This will be assessed overall and by SWAP type.
SecondaryProportion of Patients With Polypharmacy9 & 18 monthsProportion of patients with polypharmacy, defined as concurrent use of five or more medications at the 9-month and 18-month assessments.
SecondaryProportion of Patients With Hyper-polypharmacy9 & 18 monthsProportion of patients with hyper-polypharmacy, defined as concurrent use of ten or more medications at the 9-month and 18-month assessments.
OtherNumber of Participants With All-Cause Hospitalization9 & 18 monthsNumber of participants experiencing at least one hospitalization for any cause during the follow-up period, identified using electronic health record data.
OtherNumber of Participants with All-Cause Mortality9 & 18 monthsNumber of participants who died from any cause during the follow-up period, ascertained using routinely collected health system data.
OtherProportion of Eligible Patients Included in SWAP-CKM9 & 18 months
Proportion of patients included in SWAP-CKM among all patients meeting study eligibility criteria within Kaiser Permanente Northern California. Reach will also be characterized across demographic and clinical subgroups.
OtherProportion of Eligible Therapeutic Swaps Adopted by Clinicians9 & 18 months
Proportion of eligible therapeutic swaps adopted by clinicians, defined as the number of recommended swaps implemented divided by the total number of eligible swaps. Adoption will be evaluated across patient characteristics, clinician types, and therapeutic swap categories.
OtherNumber of SWAP-CKM Electronic Advisory Firings9 & 18 monthsTotal number of SWAP-CKM electronic OurPractice Advisory (OPA) firings recorded during the study period, summarized over time to assess patterns of intervention maintenance and health system learning.
OtherProportion of Long-term Therapeutic Optimization Opportunities Achieved18 months
Proportion of eligible therapeutic optimization opportunities achieved, defined as the number of achieved opportunities divided by the total number of eligible opportunities. Each therapeutic swap includes two opportunities: discontinuation of a potentially inappropriate medication and initiation of the corresponding evidence-based medication. Individual patients may contribute multiple opportunities.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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