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Kidney Int. 2015 Sep;88(3):447-59. doi: 10.1038/ki.2015.110. Epub 2015 Apr 29.

Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: developing a roadmap to improving quality care.

Author information

1
Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
2
University of British Columbia, Vancouver, British Columbia, Canada.
3
Department of Medicine, West Virginia University, Morgantown, West Virginia, USA.
4
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
5
George Institute for Global Health, New Delhi, India.
6
Imperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK.
7
Department of Palliative Care, St George Hospital, Sydney, New South Wales, Australia.
8
King's College London, Department of Palliative Care, Policy & Rehabilitation, Cicely Saunders Institute, London, UK.
9
Division of Nephrology, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
10
Division of Nephrology, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts, USA.
11
Renal Unit, Salford Royal NHS Foundation Trust, Salford, UK.
12
School of Public Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
13
Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
14
Universidad Panamericana School of Medicine, Mexico City, Mexico.

Abstract

Patients with advanced chronic kidney disease (CKD) have a high burden of physical and psychosocial symptoms, poor outcomes, and high costs of care. Current paradigms of care for this highly vulnerable population are variable, prognostic and assessment tools are limited, and quality of care, particularly regarding conservative and palliative care, is suboptimal. The KDIGO Controversies Conference on Supportive Care in CKD reviewed the current state of knowledge in order to define a roadmap to guide clinical and research activities focused on improving the outcomes of people living with advanced CKD, including those on dialysis. An international group of multidisciplinary experts in CKD, palliative care, methodology, economics, and education identified the key issues related to palliative care in this population. The conference led to a working plan to address outstanding issues in this arena, and this executive summary serves as an output to guide future work, including the development of globally applicable guidelines.

PMID:
25923985
DOI:
10.1038/ki.2015.110
[Indexed for MEDLINE]
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