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Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: developing a roadmap to improving quality care
Author(s) -
Sara N. Davison,
Adeera Levin,
Alvin H. Moss,
Vivekanand Jha,
Edwina A. Brown,
Frank Brennan,
Fliss EM Murtagh,
Saraladevi Naicker,
Michael J. Germain,
Dónal O’Donoghue,
Rachael L. Morton,
Gregorio T. Obrador
Publication year - 2015
Publication title -
kidney international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.499
H-Index - 276
eISSN - 1523-1755
pISSN - 0085-2538
DOI - 10.1038/ki.2015.110
Subject(s) - psychosocial , multidisciplinary approach , palliative care , medicine , advance care planning , kidney disease , intensive care medicine , population , executive summary , quality of life (healthcare) , nursing , political science , business , psychiatry , environmental health , law , finance
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.

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