CARSK stands for the "Canadian-Australasian Randomised Trial of Screening Kidney Transplant Candidates for Coronary Artery Disease."
CARSK is an investigator-initiated, multicentre, non-inferiority, two-parallel-arm randomized trial. It aims to test the hypothesis that after screening for waitlist entry, no further screening for coronary artery disease (CAD) is not inferior to the current standard care, which is screening all asymptomatic waitlisted patients for CAD at regular intervals.
Additionally, it will compare the benefits and costs of not screening versus regular CAD screening from a health system perspective.
Why is this trial important?
Cardiovascular disease is the commonest cause of death while on the kidney transplant waitlist and after transplantation. Current standard care involves screening for coronary artery disease prior to waitlist entry, then every 1-2 years, according to perceived risk, until transplanted. This current screening strategy is not evidence based, has substantial known and potential harms, and is very costly.
Auckland City Hospital in Auckland, NZ has randomised 205 participants.
Westmead Hospital in Sydney, Australia has randomised 167 participants.
St. Paul's Hospital in Vancouver, Canada has randomised 157 participants.
Royal Prince Alfred Hospital in Sydney, Australia has randomized 147 participants.
Vancouver General Hospital in Vancouver, Canada has randomised 95 participants
The University Health Network in Toronto, Canada has randomised 53 participants.
Bellvitge Hospital in Barcelona, Spain has randomised 46 participants.
Royal North Shore Hospital in Sydney, Australia has randomised 38 participants.
London Health Sciences Centre in London, Canada has randomised 28 participants.
St Joseph's Healthcare in Hamilton, Canada has randomised 27 participants.
Wellington Hospital in Wellington, NZ has randomised 26 participants.
St. George Hospital in Kogorah, Australia has randomised 24 participants.
Box Hill Hospital in Melbourne, Australia has randomised 24 participants.
The Ottawa Hospital in Ottawa, Canada has randomised 23 participants.
The George Washington University in Washington, DC, USA has randomised 23 participants.
Monash Medical Centre in Clayton, Australia has randomised 19 participants.
Austin Hospital in Heidelberg, Australia has randomised 16 participants.
University of Montreal, Maisonneuve-Rosemont in Montreal, Canada has randomised 16 participants.
Dunedin Hospital in Dunedin, NZ has randomised 15 participants.
Queen Elizabeth II Health Sciences in Halifax, Canada has randomised 15 participants.
Royal University Hospital in Saskatoon, Canada has randomised 14 participants.
Royal Adelaide Hospital in Adelaide, Australia has randomised 13 participants.
University of Montreal (CHUM) in Montreal, Canada has randomised 13 participants.
Kingston General Hospital in Kingston, Canada has randomised 11 participants.
Christchurch Hospital in Christchurch, NZ has randomised 10 participants.
Prince of Wales Hospital in Randwick, Australia has randomised 10 participants.
St Michael's Hospital in Toronto, Canada has randomised 10 participants.
McGill University Health Centre in Montreal, Canada has randomised 8 participants.
Laval University in Laval, Canada has randomised 5 participants.
Wollongong Hospital in Wollongong, Australia has randomised 4 participants.
The Charité in Berlin, Germany has randomised 4 participants.
St. George's University Hospitals in London, England has randomised 3 participants.
About the logo The logo is two overlapping kidneys in the shape of a heart. The colours are those of the flags of New Zealand, Australia, and Canada, the main participating countries in this trial. Logo design by Jesse Horner.