Obrador, Gregorio
Thumbnail Image
Preferred name
Obrador, Gregorio
Official Name
Tomás Obrador Vera, Gregorio
Alternative Name
gobrador
Main Affiliation
ORCID
Scopus Author ID
6602806471
Researcher ID
B-3054-2011

Research Output

Filters

2
2
2
Reset filters

Settings
Now showing 1 - 2 of 2
No Thumbnail Available
Publication

Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: developing a roadmap to improving quality care

2015 , Davison, Sara N. , Levin, Adeera , Moss, Alvin H. , Jha, Vivekanand , Brown, Edwina A. , Brennan, Frank , Murtagh, Fliss E.M. , Naicker, Saraladevi , Germain, Michael J. , O'Donoghue, Donal J. , Morton, Rachael L. , Obrador, Gregorio

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. Copyright © Elsevier B.V., its licensors, and contributors

View
No Thumbnail Available
Publication

Supportive care for end-stage kidney disease: an integral part of kidney services across a range of income settings around the world

2020 , Hole, Barnaby , Hemmelgarn, Brenda , Brown, Edwina , Brown, Mark , McCulloch, Mignon I. , Zuniga, Carlos , Andreoli, Sharon P. , Blake, Peter G. , Couchoud, Cécile , Cueto-Manzano, Alfonso M. , Dreyer, Gavin , García García, Guillermo , Jager, Kitty J. , McKnight, Marla , Morton, Rachael L. , Murtagh, Fliss E.M. , Naicker, Saraladevi , Obrador, Gregorio , Perl, Jeffrey , Rahman, Muhibur , Shah, Kamal D. , Biesen, Wim Van , Walker, Rachael C. , Yeates, Karen , Zemchenkov, Alexander , Zhao, Ming-Hui , Davies, Simon J. , Caskey, Fergus J.

A key component of treatment for all people with advanced kidney disease is supportive care, which aims to improve quality of life and can be provided alongside therapies intended to prolong life, such as dialysis. This article addresses the key considerations of supportive care as part of integrated end-stage kidney disease care, with particular attention paid to programs in low- and middle-income countries. Supportive care should be an integrated component of care for patients with advanced chronic kidney disease, patients receiving kidney replacement therapy (KRT), and patients receiving non-KRT conservative care. Five themes are identified: improving information on prognosis and support, developing context-specific evidence, establishing appropriate metrics for monitoring care, clearly communicating the role of supportive care, and integrating supportive care into existing health care infrastructures. This report explores some general aspects of these 5 domains, before exploring their consequences in 4 health care situations/settings: in people approaching end-stage kidney disease in high-income countries and in low- and middle-income countries, and in people discontinuing KRT in high-income countries and in low- and middle-income countries. ©2020 International Society of Nephrology

View