Recommendations for the Care of Patients Receiving Conservative Kidney Management : Focus on Management of CKD and Symptoms

Copyright © 2019 by the American Society of Nephrology..

Conservative kidney management is increasingly accepted as an appropriate treatment option for patients with eGFR category 5 CKD who are unlikely to benefit from dialysis and/or who choose a nondialysis care option. However, there remains great variation in the delivery of their care. As part of the development of a conservative kidney management pathway that is undergoing evaluation, a set of recommendations specific to conservative kidney management for managing the complications of CKD and common symptoms was developed. These recommendations focus on the patient's values and preferences and aim to optimize comfort and quality of life. Explanations for the interventions are provided to support the shared decision-making process between health care professionals, patients, and family members. The recommendations generally emphasize the preservation of function (cognitive, physical, and kidney) and address symptom burden, acknowledging that management priorities can change over time. The recommendations should be used in conjunction with other key elements of conservative kidney management, including clear communication and shared decision making for choosing conservative kidney management, advance care planning, and psychosocial support. Although there are limitations to the existing evidence specific to conservative kidney management, these recommendations are intended as a starting point toward reaching consensus and generating further evidence.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Clinical journal of the American Society of Nephrology : CJASN - 14(2019), 4 vom: 05. Apr., Seite 626-634

Sprache:

Englisch

Beteiligte Personen:

Davison, Sara N [VerfasserIn]
Tupala, Beth [VerfasserIn]
Wasylynuk, Betty Ann [VerfasserIn]
Siu, Valerie [VerfasserIn]
Sinnarajah, Aynharan [VerfasserIn]
Triscott, Jean [VerfasserIn]

Links:

Volltext

Themen:

Advance Care Planning
Chronic
Chronic kidney disease
Cognition
Consensus
Conservative Kidney Management
Conservative Treatment
Decision Making
End stage kidney disease
Glomerular filtration rate
Humans
Journal Article
Palliative Care
Quality of life
Recommendations
Renal Insufficiency
Renal dialysis
Research Support, Non-U.S. Gov't
Symptoms

Anmerkungen:

Date Completed 09.07.2020

Date Revised 01.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.2215/CJN.10510917

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM294440496