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Transition Between Different Renal Replacement Modalities: Gaps in Knowledge and Care-The Integrated Research Initiative

Chan, Christopher; Combes, Gill; Davies, Simon; Finkelstein, Fred; Firanek, Catherine; Gomez, Rafael; Jager, Kitty J.; Jha George, Vivek; Johnson, David W.; Lambie, Mark; Madero, Magdalena; Masakane, Ikuto; McDonald, Stephen; Misra, Madhukar; Mitra, Sandip; Moraes, Thyago; Nadeau-Fredette, Annie-Claire; Mukhopadhyay, Purna; Perl, Jeff; Pisoni, Ronald; Robinson, Bruce; Ryu, Dong-Ryeol; Saran, Rajiv; Sloand, James; Sukul, Nidhi; Tong, Allison; Szeto, Cheuk-Chun; Van Biesen, Wim

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Authors

Christopher Chan

Gill Combes

Fred Finkelstein

Catherine Firanek

Rafael Gomez

Kitty J. Jager

Vivek Jha George

David W. Johnson

Magdalena Madero

Ikuto Masakane

Stephen McDonald

Madhukar Misra

Sandip Mitra

Thyago Moraes

Annie-Claire Nadeau-Fredette

Purna Mukhopadhyay

Jeff Perl

Ronald Pisoni

Bruce Robinson

Dong-Ryeol Ryu

Rajiv Saran

James Sloand

Nidhi Sukul

Allison Tong

Cheuk-Chun Szeto

Wim Van Biesen



Abstract

Patients with end-stage kidney disease (ESKD) have different options to replace the function of their failing kidneys. The "integrated care" model considers treatment pathways rather than individual renal replacement therapy (RRT) techniques. In such a paradigm, the optimal strategy to plan and enact transitions between the different modalities is very relevant, but so far, only limited data on transitions have been published. Perspectives of patients, caregivers, and health professionals on the process of transitioning are even less well documented. Available literature suggests that poor coordination causes significant morbidity and mortality.This review briefly provides the background, development, and scope of the INTErnational Group Research Assessing Transition Effects in Dialysis (INTEGRATED) initiative. We summarize the literature on the transition between different RRT modalities. Further, we present an international research plan to quantify the epidemiology and to assess the qualitative aspects of transition between different modalities.

Journal Article Type Article
Acceptance Date Jan 6, 2018
Publication Date Jan 1, 2019
Publicly Available Date Mar 28, 2024
Journal Peritoneal Dialysis International
Print ISSN 0896-8608
Publisher SAGE Publications
Volume 39
Issue 1
Pages 4 -12
DOI https://doi.org/10.3747/pdi.2017.00242
Keywords integrated care, planned/unplanned transitions, barriers, patient beliefs, international collaboration
Publisher URL http://doi.org/10.3747/pdi.2017.00242

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