期刊
KIDNEY INTERNATIONAL
卷 88, 期 3, 页码 447-459出版社
ELSEVIER SCIENCE INC
DOI: 10.1038/ki.2015.110
关键词
chronic kidney disease; conservative care; palliative care; supportive care; symptoms; withdrawal of dialysis
资金
- Baxter
- UK National Institute for Health Research
- UK Charity-Guy's & St Thomas Charity
- Cancer Council NSW
- AbbVie
- Amgen
- Cancer Australia
- Australian National Health and Medical Research Council
Patients with advanced chronic kidney disease (CKD) have a high burden of physical and psychosocial symptoms, poor outcomes, and high costs of care. Current paradigms of care for this highly vulnerable population are variable, prognostic and assessment tools are limited, and quality of care, particularly regarding conservative and palliative care, is suboptimal. The KDIGO Controversies Conference on Supportive Care in CKD reviewed the current state of knowledge in order to define a roadmap to guide clinical and research activities focused on improving the outcomes of people living with advanced CKD, including those on dialysis. An international group of multidisciplinary experts in CKD, palliative care, methodology, economics, and education identified the key issues related to palliative care in this population. The conference led to a working plan to address outstanding issues in this arena, and this executive summary serves as an output to guide future work, including the development of globally applicable guidelines.
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