Availability, Accessibility, and Quality of Conservative Kidney Management Worldwide.


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Lunney M., Bello A. K. , Levin A., Tam-Tham H., Thomas C., Osman M. A. , ...More

Clinical journal of the American Society of Nephrology : CJASN, vol.16, pp.79-87, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 16
  • Publication Date: 2021
  • Doi Number: 10.2215/cjn.09070620
  • Title of Journal : Clinical journal of the American Society of Nephrology : CJASN
  • Page Numbers: pp.79-87
  • Keywords: kidney failure, conservative kidney management, global health, survey, capacity, SUPPORTIVE CARE, DISEASE, DIALYSIS, PART

Abstract

Background and objectives People with kidney failure typically receive KRT in the form of dialysis or transplantation. However, studies have suggested that not all patients with kidney failure are best suited for KRT. Additionally, KRT is costly and not always accessible in resource-restricted settings. Conservative kidney management is an alternate kidney failure therapy that focuses on symptom management, psychologic health, spiritual care, and family and social support. Despite the importance of conservative kidney management in kidney failure care, several barriers exist that affect its uptake and quality.