Conservative care for end-stage kidney disease: joint medical conference with the Renal Association, British Geriatrics Society and Association for Palliative Medicine

被引:12
作者
Alston, Helen [1 ]
机构
[1] Royal Free Hosp, UCL Ctr Nephrol, London NW3 2QG, England
关键词
Chronic kidney disease; conservative management; end-stage kidney disease; palliative care; ELDERLY-PATIENTS; DIALYSIS; SURVIVAL;
D O I
10.7861/clinmedicine.13-4-383
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Conservative care is one of the fastest-changing areas of renal medicine. Non-dialytic therapy is now established as a treatment option in most renal units in the UK. This conference reviewed the history of conservative management and examined the state of current practice. The challenges now faced include expanding the evidence base in this area, improving the information given to patients and their families to help them make a decision about treatment, and responding to changes in NHS funding to ensure continued provision of high-quality care.
引用
收藏
页码:383 / 386
页数:4
相关论文
共 10 条
[1]   Is Maximum Conservative Management an Equivalent Treatment Option to Dialysis for Elderly Patients with Significant Comorbid Disease? [J].
Carson, Rachel C. ;
Juszczak, Maciej ;
Davenport, Andrew ;
Burns, Aine .
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2009, 4 (10) :1611-1619
[2]  
Caskey F, 2011, 13 ANN REPORT RENAL
[3]   Survival of elderly patients with stage 5 CKD: comparison of conservative management and renal replacement therapy [J].
Chandna, Shahid M. ;
Da Silva-Gane, Maria ;
Marshall, Catherine ;
Warwicker, Paul ;
Greenwood, Roger N. ;
Farrington, Ken .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2011, 26 (05) :1608-1614
[4]   Predicting Six-Month Mortality for Patients Who Are on Maintenance Hemodialysis [J].
Cohen, Lewis M. ;
Ruthazer, Robin ;
Moss, Alvin H. ;
Germain, Michael J. .
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2010, 5 (01) :72-79
[5]   A clinical score to predict 6-month prognosis in elderly patients starting dialysis for end-stage renal disease [J].
Couchoud, Cecile ;
Labeeuw, Michel ;
Moranne, Olivier ;
Allot, Vincent ;
Esnault, Vincent ;
Frimat, Luc ;
Stengel, Benedicte .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2009, 24 (05) :1553-1561
[6]   End-of-Life Care Preferences and Needs: Perceptions of Patients with Chronic Kidney Disease [J].
Davison, Sara N. .
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2010, 5 (02) :195-204
[7]   Factors influencing patient choice of dialysis versus conservative care to treat end-stage kidney disease [J].
Morton, Rachael L. ;
Snelling, Paul ;
Webster, Angela C. ;
Rose, John ;
Masterson, Rosemary ;
Johnson, David W. ;
Howard, Kirsten .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2012, 184 (05) :E277-E283
[8]   Symptoms in advanced renal disease: A cross-sectional survey of symptom prevalence in stage 5 chronic kidney disease managed without dialysis [J].
Murtagh, Fliss E. M. ;
Addington-Hall, Julia M. ;
Edmonds, Polly M. ;
Donohoe, Paul ;
Carey, Irene ;
Jenkins, Karen ;
Higginson, Irene J. .
JOURNAL OF PALLIATIVE MEDICINE, 2007, 10 (06) :1266-1276
[9]   Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5 [J].
Murtagh, Fliss E. M. ;
Marsh, James E. ;
Donohoe, Paul ;
Ekbal, Nasirul J. ;
Sheerin, Neil S. ;
Harris, Fiona E. .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2007, 22 (07) :1955-1962
[10]  
Thaler R., 2009, Nudge