Chan, C, Combes, G, Davies, S, Finkelstein, F, Firanek, C, Gomez, R, Jager, KJ, George, VJ, Johnson, DW, Lambie, M, Madero, M, Masakane, I, McDonald, S, Misra, M, Mitra, S, Moraes, T, Nadeau-Fredette, A-C, Mukhopadhyay, P, Perl, J, Pisoni, R, Robinson, B, Ryu, D-R, Saran, R, Sloand, J, Sukul, N, Tong, A, Szeto, C-C and Van Biesen, W (2019) Transition Between Different Renal Replacement Modalities: Gaps in Knowledge and Care-The Integrated Research Initiative. Peritoneal Dialysis International, 39 (1). 4 -12. ISSN 1718-4304

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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.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Hinan at - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: integrated care, planned/unplanned transitions, barriers, patient beliefs, international collaboration
Subjects: R Medicine > RC Internal medicine > RC902 Nephrology
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 04 Feb 2019 09:32
Last Modified: 01 Jan 2020 01:30

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