Supportive care for end-stage kidney disease: an integral part of kidney services across a range of income settings around the world
Journal
Kidney International Supplements
ISSN
2157-1716
Date Issued
2020
Author(s)
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
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.
Type
Resource Types::text::journal::journal article
Abstract
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
Subjects