Barriers and Facilitators to Active Medical Management without Dialysis

被引：0

作者：

Corbett, Christine ^{[1
,2
,3
]}

Moss, Alvin H. ^{[4
,5
]}

机构：

[1] Truman Med Ctr, Adv Practice Providers, Kansas City, MO 64108 USA

[2] Truman Med Ctr, Nephrol & Palliat Care, Kansas City, MO 64108 USA

[3] ANNAs Heart Amer Chapter, Kansas City, MO 64133 USA

[4] West Virginia Univ, Sch Med, Ctr Hlth Eth & Law, Morgantown, WV 26506 USA

[5] West Virginia Univ, Sch Med, Nephrol & Palliat Care, Morgantown, WV 26506 USA

来源：

NEPHROLOGY NURSING JOURNAL | 2021年 / 48卷 / 01期

关键词：

Active medical management without dialysis; conservative kidney management; conservative care; kidney supportive care; kidney palliative care; dialysis; chronic kidney disease; advance care planning; end of life; quality of life; shared decision-making; OF-LIFE CARE; CHRONIC KIDNEY-DISEASE; CONSERVATIVE MANAGEMENT; DECISION-MAKING; NATIONAL-SURVEY; OLDER PATIENTS; END; NEPHROLOGY; SURVIVAL; ESRD;

D O I：

10.37526/1526-744X.2021.48.1.69

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Multiple studies document there are patients for whom hemodialysis can be predicted not to offer a survival advantage. The medical evidence also includes reports of strong, active medical management without dialysis programs in Australia, Canada, and the United Kingdom, yet the nephrology community in the United States has yet to provide to patients with end stage kidney disease an active medical management without dialysis option available throughout the country. This article reviews barriers and facilitators to starting such a program and offers recommendations for the components that have enabled international programs to be successful.

引用

页码：69 / 76

页数：8

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