Conservative kidney management and kidney supportive care: core components of integrated care for people with kidney failure

被引:34
作者
Davison, Sara N. [1 ,32 ]
Pommer, Wolfgang [2 ,3 ]
Brown, Mark A. [4 ,5 ]
Douglas, Claire A. [6 ]
Gelfand, Samantha L. [7 ,8 ,9 ]
Gueco, Irmingarda P. [10 ]
Hole, Barnaby D. [11 ]
Homma, Sumiko [12 ]
Kazancioglu, Rumeyza T. [13 ]
Kitamura, Harumi [14 ]
Koubar, Sahar H. [15 ]
Krause, Rene [16 ]
Li, Kelly C.
Lowney, Aoife C. [17 ,18 ,19 ]
Nagaraju, Shankar P. [20 ]
Niang, Abdou [21 ]
Obrador, Gregorio T. [22 ]
Ohtake, Yoichi [23 ]
Schell, Jane O. [24 ]
Scherer, Jennifer S. [25 ]
Smyth, Brendan [26 ]
Tamba, Kaichiro [27 ]
Vallath, Nandini [28 ]
Wearne, Nicola [29 ]
Zakharova, Elena [30 ]
Zuniga, Carlos [31 ]
Brennan, Frank P. [3 ,4 ]
机构
[1] Univ Alberta, Dept Med, Div Nephrol & Immunol, Edmonton, AB, Canada
[2] Charite Univ Med Berlin, Dept Nephrol & Med Intens Care, Berlin, Germany
[3] Kuratorium Dialyse & Nierentransplantat, Neu Isenburg, Germany
[4] St George Hosp, Dept Renal Med, Kogarah, Australia
[5] Univ New South Wales, Sch Clin Med, Kogarah, Australia
[6] Ninewells Hosp, Dept Renal Med, Dundee, Scotland
[7] Brigham & Womens Hosp, Dept Psychosocial Oncol & Palliat Care, Div Renal Kidney Med, Boston, MA USA
[8] Dana Farber Canc Inst, Boston, MA USA
[9] Harvard Med Sch, Boston, MA USA
[10] Med City, Sect Nephrol, Pasig, Philippines
[11] Univ Bristol, Dept Populat Hlth, Bristol, Gloucestershire, England
[12] Koga Red Cross Hosp, Dept Nephrol, Koga, Ibaraki, Japan
[13] Bezmialem Vakif Univ, Fac Med, Div Nephrol, Istanbul, Turkiye
[14] Osaka Univ Hosp, Dept Clin Qual Management, Osaka, Japan
[15] Univ Minnesota, Dept Internal Med, Div Nephrol & Hypertens, Minneapolis, MN USA
[16] Univ Cape Town, Dept Family Community & Emergency Care, Div Interdisciplinary Palliat Care & Med, Cape Town, South Africa
[17] Marymount Univ Hosp & Hosp, Dept Palliat Med, Cork, Ireland
[18] Cork Univ Hosp, Dept Palliat Med, Cork, Ireland
[19] Univ Coll Cork, Dept Palliat Med, Cork, Ireland
[20] Manipal Acad Higher Educ, Kasturba Med Coll, Dept Nephrol, Manipal, India
[21] Cheikh Anta Diop Univ, Nephrol Dept, Dakar, Senegal
[22] Univ Panamericana, Dept Biostat & Publ Hlth, Sch Med, Mexico City, Mexico
[23] Takeo Clin, Body Mind Clin, Osaka, Japan
[24] Univ Pittsburgh, Renal Electrolyte Div, Sect Palliat Care & Med Ethics, Renal Electrolyte Div,Sch Med, Pittsburgh, PA USA
[25] NYU, Grossman Sch Med, Dept Internal Med, New York, NY USA
[26] Univ Sydney, Natl Hlth & Med Res Council NHMRC Clin Trials Ctr, Camperdown, Australia
[27] Univ Hosp, Juchi Med Sch, Div Palliat Care Med, Tochigi, Japan
[28] St Johns Natl Acad Hlth Sci, Dept Palliat Med, Bengaluru, India
[29] Univ Cape Town, Groote Schuur Hosp, Dept Med, Div Nephrol & Hypertens, Cape Town, South Africa
[30] Botkin Hosp, Dept Nephrol, Moscow, Russia
[31] Univ Catolica Santisima Concepcion, Fac Med, Concepcion, Chile
[32] Dept Med, Div Nephrol & Immunol, 11-107 Clin Sci Bldg, 8440 112 St NW, Edmonton, AB T6G 2B7, Canada
关键词
SPECIALIST PALLIATIVE CARE; SYMPTOM ASSESSMENT SYSTEM; DISEASE; FRAMEWORK; DIALYSIS; OUTCOMES; ACCESS; ADULTS;
D O I
10.1016/j.kint.2023.10.001
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Integrated kidney care requires synergistic linkage between preventative care for people at risk for chronic kidney disease and health services providing care for people with kidney disease, ensuring holistic and coordinated care as people transition between acute and chronic kidney disease and the 3 modalities of kidney failure management: conservative kidney management, transplantation, and dialysis. People with kidney failure have many supportive care needs throughout their illness, regardless of treatment modality. Kidney supportive care is therefore a vital part of this integrated framework, but is nonexistent, poorly developed, and/or poorly integrated with kidney care in many settings, especially in low- and middleincome countries. To address this, the International Society of Nephrology has (i) coordinated the development of consensus definitions of conservative kidney management and kidney supportive care to promote international understanding and awareness of these active treatments; and (ii) identified key considerations for the development and expansion of conservative kidney management and kidney supportive care programs, especially in low resource settings, where access to kidney replacement therapy is restricted or not available. This article presents the definitions for conservative kidney management and kidney supportive care; describes their core components with some illustrative examples to highlight key points; and describes some of the additional considerations for delivering conservative kidney management and kidney supportive care in low resource settings.
引用
收藏
页码:35 / 45
页数:11
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