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Perit Dial Int. 2019 Jan-Feb;39(1):4-12. doi: 10.3747/pdi.2017.00242.

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

Author information

1
Division of Nephrology, University Health Network, Toronto, Ontario, Canada.
2
Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
3
Institute for Applied Clinical Sciences, Keele University, Keele, UK, and Department of Nephrology, University Hospitals of North Midlands, Stoke-on-Trent, UK.
4
Yale University, New Haven, NJ, USA.
5
Renal Division, Baxter Healthcare Corporation, Deerfield, IL, USA.
6
Renal Unit, RTS Versalles, Cali, Colombia.
7
ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Amsterdam Public Health Research Institute, University of Amsterdam, The Netherlands.
8
Institute for Global Health, New Delhi, India.
9
Princess Alexandra Hospital, Woolloongabba, Australia.
10
Instituto Nacional de Cardiología, Mexico City, Mexico.
11
Department of Nephrology, Yabuki Hospital, Yamagata, Japan.
12
Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia, and University of Adelaide, Adelaide, Australia.
13
Department of Medicine, Division of Nephrology, University of Missouri, Columbia, MO, USA.
14
Nephrology Department, Central Manchester University Hospital NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
15
Nephrology, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
16
Department of Medicine, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montreal, QC, Canada.
17
Arbor Research Collaborative for Health, Ann Arbor, MI, USA.
18
Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, South Korea.
19
Division of Nephrology, Department of Medicine & Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA.
20
Nephrology Department, University of Michigan, Ann Arbor, MI, USA.
21
The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
22
Department of Medicine & Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
23
Ghent University Hospital, Ghent, Belgium Wim.vanbiesen@ugent.be.

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.

KEYWORDS:

Integrated care; barriers; collaboration; international; patient beliefs; planned/unplanned transitions

PMID:
30692232
DOI:
10.3747/pdi.2017.00242

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