Supportive Care: Comprehensive Conservative Care in End-Stage Kidney Disease

Supportive Care: Comprehensive Conservative Care in End-Stage Kidney Disease.

Comprehensive conservative (nondialytic) kidney care is widely recognized and delivered but until recently, has not been clearly defined. We provide a clear definition of comprehensive conservative care. This includes interventions to delay progression of kidney disease and minimize complications as well as detailed communication, shared decision making, advance care planning, and psychologic a...

Factors influencing patient choice of dialysis versus conservative care to treat end-stage kidney disease.

BACKGROUND For every patient with chronic kidney disease who undergoes renal-replacement therapy, there is one patient who undergoes conservative management of their disease. We aimed to determine the most important characteristics of dialysis and the trade-offs patients were willing to make in choosing dialysis instead of conservative care. METHODS We conducted a discrete choice experiment i...

End-stage kidney disease patients in the intensive care unit.

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Contrasting approaches to end of life and palliative care in end stage kidney disease

With increased numbers of the elderly, including nursing home patients, being accepted for end-stage kidney disease (ESKD) management, there is heightened interest and focus on end of life decisions, advanced care planning and directives, withdrawal from dialysis and palliative care in this setting. Despite this, care at the individual patient level can vary greatly. Here, we present two contra...

Palliative care and end-stage liver disease.