Shared decision-making in advanced chronic kidney disease in the elderly. Follow the example

2020 ◽  
Vol 154 (1) ◽  
pp. 32-33
Author(s):  
Isabel Torrente Jiménez ◽  
Susana Herranz Martínez ◽  
Marc Moreno Ariño
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Shared Decision Making ◽  
The Elderly ◽  
Shared Decision ◽  
Advanced Chronic Kidney Disease

Shared decision-making in advanced chronic kidney disease in the elderly

2019 ◽  
Vol 152 (5) ◽  
pp. 188-194
Author(s):  
Manuel Heras Benito ◽  
María José Fernández-Reyes Luis
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Shared Decision Making ◽  
The Elderly ◽  
Shared Decision ◽  
Advanced Chronic Kidney Disease

scholarly journals The Need for Accurate Risk Prediction Models for Road Mapping, Shared Decision Making and Care Planning for the Elderly with Advanced Chronic Kidney Disease

PRILOZI ◽  
2016 ◽  
Vol 37 (2-3) ◽  
pp. 33-42 ◽  
Author(s):  
Marijke Stryckers ◽  
Evi V Nagler ◽  
Wim Van Biesen
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Shared Decision Making ◽  
Risk Prediction ◽  
Prediction Models ◽  
Shared Decision ◽  
End Stage Kidney Disease ◽  
Risk Prediction Models ◽  
End Stage

AbstractAs people age, chronic kidney disease becomes more common, but it rarely leads to end-stage kidney disease. When it does, the choice between dialysis and conservative care can be daunting, as much depends on life expectancy and personal expectations of medical care. Shared decision making implies adequately informing patients about their options, and facilitating deliberation of the available information, such that decisions are tailored to the individual’s values and preferences. Accurate estimations of one’s risk of progression to end-stage kidney disease and death with or without dialysis are essential for shared decision making to be effective. Formal risk prediction models can help, provided they are externally validated, well-calibrated and discriminative; include unambiguous and measureable variables; and come with readily applicable equations or scores. Reliable, externally validated risk prediction models for progression of chronic kidney disease to end-stage kidney disease or mortality in frail elderly with or without chronic kidney disease are scant. Within this paper, we discuss a number of promising models, highlighting both the strengths and limitations physicians should understand for using them judiciously, and emphasize the need for external validation over new development for further advancing the field.

scholarly journals The transition clinic in chronic kidney disease care

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii4-ii10 ◽  
Author(s):  
Marie Evans ◽  
Kai Lopau
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Patient Involvement ◽  
Decision Making Process ◽  
Shared Decision ◽  
Advanced Chronic Kidney Disease ◽  
Conservative Care ◽  
Transition Clinic ◽  
Chronic Kidney Disease Care

Abstract People with advanced chronic kidney disease and evidence of progression have a high risk of renal replacement therapy. Specialized transition clinics could offer a better option for preparing these patients for dialysis, transplantation or conservative care. This review focuses on the different aspects of such transition clinics. We discuss which patients should be referred to these units and when referral should take place. Patient involvement in the decision-making process is important and requires unbiased patient education. There are many themes, both patient-centred and within the healthcare structure, that will influence the process of shared decision-making and the modality choice. Aspects of placing an access for haemodialysis and peritoneal dialysis are reviewed. Finally, we discuss the importance of pre-emptive transplantation and a planned dialysis start, all with a focus on multidisciplinary collaboration at the transition clinic.

Shared decision-making in chronic kidney disease: A retrospection of recently initiated dialysis patients in Germany

2016 ◽  
Vol 99 (4) ◽  
pp. 562-570 ◽  
Author(s):  
Maxi Robinski ◽  
Wilfried Mau ◽  
Andreas Wienke ◽  
Matthias Girndt
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Dialysis Patients

scholarly journals Shared decision-making, advance care planning for chronic kidney disease patients

2021 ◽  
Vol 27 (5) ◽  
pp. 33
Author(s):  
ShankarPrasad Nagaraju ◽  
Jayita Deodhar ◽  
AshokL Kirpalani ◽  
AjithM Nayak
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Shared Decision Making ◽  
Advance Care Planning ◽  
Care Planning ◽  
Shared Decision ◽  
Advance Care

scholarly journals Patient and physician perspectives on shared decision-making for coronary procedures in people with chronic kidney disease: a patient-oriented qualitative study

CMAJ Open ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. E860-E868
Author(s):  
Juli Finlay ◽  
Todd Wilson ◽  
Pantea Amin Javaheri ◽  
Winnie Pearson ◽  
Carol Connolly ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Decision Making ◽  
Kidney Disease ◽  
Qualitative Study ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Physician Perspectives ◽  
Coronary Procedures
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