Hole, B, Hemmelgarn, B, Brown, E, Brown, M, McCulloch, MI, Zuniga, C, Andreoli, SP, Blake, PG, Couchoud, C, Cueto-Manzano, AM, Dreyer, G, Garcia Garcia, G, Jager, KJ, McKnight, M, Morton, RL, Murtagh, FEM, Naicker, S, Obrador, GT, Perl, J, Rahman, M, Shah, KD, Van Biesen, W, Walker, RC, Yeates, K, Zemchenkov, A, Zhao, M-H, Davies, SJ ORCID: https://orcid.org/0000-0001-5127-4755 and Caskey, FJ (2020) Supportive care for end-stage kidney disease: an integral part of kidney services across a range of income settings around the world. Kidney International Supplements, 10 (1). e86 - e94.

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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.

Item Type: Article
Additional Information: The final version of this article and all relevant information regarding copyright can be found at either of the publisher sites provided below; https://www.kisupplements.org/article/S2157-1716(19)30022-X/fulltext https://www.sciencedirect.com/science/article/pii/S215717161930022X?via%3Dihub
Uncontrolled Keywords: conservative care, end-stage kidney disease, palliative care, supportive care
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC902 Nephrology
R Medicine > RM Therapeutics. Pharmacology > Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy
Divisions: Faculty of Medicine and Health Sciences > School of Primary, Community and Social Care
Related URLs:
Depositing User: Symplectic
Date Deposited: 16 Jun 2020 11:44
Last Modified: 16 Jun 2020 11:44
URI: https://eprints.keele.ac.uk/id/eprint/8053

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