Unique palliative care needs of patients with advanced chronic kidney disease – the scope of the problem and several solutions

Patients with advanced chronic kidney disease (CKD), including end-stage renal disease (ESRD), have a life-threatening illness complicated by high morbidity and mortality and, therefore, should be suitable candidates for early intervention by palliative care specialists. However, the average patient...

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Bibliographic Details
Published inClinical medicine (London, England) Vol. 19; no. 1; pp. 26 - 29
Main Authors Sturgill, Daniel, Bear, Alexandria
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.01.2019
Royal College of Physicians
Subjects
care models
CKD
ESRD
Health Services Needs and Demand
Hospice care
Humans
Kidney diseases
Mortality
palliative
Palliative care
Palliative Care - methods
Renal Insufficiency, Chronic - therapy
Review
Systematic review
United Kingdom > UK
United States > US
ESRD
palliative
CKD
care models
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Summary:Patients with advanced chronic kidney disease (CKD), including end-stage renal disease (ESRD), have a life-threatening illness complicated by high morbidity and mortality and, therefore, should be suitable candidates for early intervention by palliative care specialists. However, the average patient with CKD does not have an advanced care plan, has multiple debilitating symptoms, and does not utilise hospice care at the end of life. In this review, we outline the scope of the problem of unmet palliative care needs for patients with advanced CKD and ESRD, barriers to improving palliative care for patients with renal failure, and possible future directions for palliative nephrology.
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmedicine.19-1-26