Dialysis initiation, modality choice, access, and prescription: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference
| Autor: | Edwina A. Brown, Wolfgang C. Winkelmayer, Rachael L. Morton, Daniel E. Weiner, Frederic O. Finkelstein, Angela Yee-Moon Wang, Klemens B. Meyer, Ziad A. Massy, Maurice Laville, Maurizio Gallieni, David Harris, David C. Wheeler, Ismay van Loon, Yoshitaka Isaka, Joanne M. Bargman, Edgar V. Lerma, Tushar J. Vachharajani, Jennifer E. Flythe, José Pérez, Andrew Davenport, Bruce M. Robinson, Rajnish Mehrotra, María Fernanda Slon Roblero, Kunitoshi Iseki, Robert S. Lockridge, Takayuki Hamano, Kevan R. Polkinghorne, Elizabeth Lindley, Christopher T. Chan, Adrian Liew, Ali K. Abu-Alfa, Peter G. Kerr, Annie Claire Nadeau-Fredette, Steven J. Rosansky, Miguel C. Riella, Olof Heimbürger, Manfred Hecking, Nathan W. Levin, Laura M. Dember, Carol A. Pollock, Joris I. Rotmans, Hirokazu Okada, Barnaby Hole, Suzanne Watnick, Magdalena Madero, Csaba P. Kovesdy, Michael Cheung, Jung Pyo Lee, T. Alp Ikizler, Daljit Hothi, Navdeep Tangri, Monika Lichodziejewska-Niemierko, Yusuke Tsukamoto, Simon J. Davies, Vivekanand Jha, Kriang Tungsanga, Jeff Perl, Martin Wilkie, Hideki Kawanishi, Marcello Tonelli, Paul E. Stevens, Rafael Gomez, Thomas A. Golper, Linda M. McCann, Anthony J. Bleyer, Allison Tong, Ed Lacson, Charmaine E. Lok, Elena Zakharova, Michael V. Rocco, Paul Komenda, Peter J. Blankestijn, Eric Goffin |
|---|---|
| Přispěvatelé: | UCL - SSS/IREC/NEFR - Pôle de Néphrologie, UCL - (SLuc) Service de néphrologie |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_treatment 030232 urology & nephrology Goal-directed dialysis Patient Care Planning Prescription home dialysis 0302 clinical medicine Health care hemodialysis Patient Preference goal-directed dialysis peritoneal dialysis Nephrology Preparedness Hemodialysis Practice Guidelines as Topic Vascular and peritoneal dialysis access medicine.medical_specialty Clinical Decision-Making Peritoneal dialysis Context (language use) Time-to-Treatment 03 medical and health sciences Renal Dialysis Journal Article medicine Home dialysis Humans Initiation Medical prescription Intensive care medicine vascular and peritoneal dialysis access Dialysis prescription business.industry Modality Congresses as Topic medicine.disease symptom control initiation 030104 developmental biology Kidney Failure Chronic modality Patient Participation business Decision Making Shared Symptom control Patient education Kidney disease |
| Zdroj: | Kidney international, Vol. 96, no. 1, p. 37-47 (2019) Kidney International, 96(1), 37. Nature Publishing Group |
| ISSN: | 0085-2538 |
| Popis: | Globally, the number of patients undergoing maintenance dialysis is increasing, yet throughout the world there is significant variability in the practice of initiating dialysis. Factors such as availability of resources, reasons for starting dialysis, timing of dialysis initiation, patient education and preparedness, dialysis modality and access, as well as varied "country-specific" factors significantly affect patient experiences and outcomes. As the burden of end-stage kidney disease (ESKD) has increased globally, there has also been a growing recognition of the importance of patient involvement in determining the goals of care and decisions regarding treatment. In January 2018, KDIGO (Kidney Disease: Improving Global Outcomes) convened a Controversies Conference focused on dialysis initiation, including modality choice, access, and prescription. Here we present a summary of the conference discussions, including identified knowledge gaps, areas of controversy, and priorities for research. A major novel theme represented during the conference was the need to move away from a "one-size-fits-all" approach to dialysis and provide more individualized care that incorporates patient goals and preferences while still maintaining best practices for quality and safety. Identifying and including patient-centered goals that can be validated as quality indicators in the context of diverse health care systems to achieve equity of outcomes will require alignment of goals and incentives between patients, providers, regulators, and payers that will vary across health care jurisdictions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|