Conservative care for esrd in the united kingdom: A national survey

Clinical Journal of the American Society of Nephrology

Volumn 10, Issue 1, 2015, Pages 120-126

  Okamoto, Ikumi ^a   Tonkin Crine, Sarah ^a   Rayner, Hugh ^b   Murtagh, Fliss E M ^c   Farrington, Ken ^d   Caskey, Fergus ^e   Tomson, Charles ^e   Loud, Fiona ^f   Greenwood, Roger ^d   O’Donoghue, Donal J ^g   Roderick, Paul ^a  

^a UNIVERSITY OF SOUTHAMPTON   (United Kingdom)

^b UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST   (United Kingdom)

^c KING'S COLLEGE LONDON   (United Kingdom)

^d LISTER HOSPITAL   (United Kingdom)

^e SOUTHMEAD HOSPITAL   (United Kingdom)

^f British Kidney Patient Association   (United Kingdom)

^g SALFORD ROYAL NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CAREGIVER; CONSERVATIVE TREATMENT; DECISION MAKING; DIALYSIS; END STAGE RENAL DISEASE; FUNDING; HEALTH CENTER; HEALTH SURVEY; HUMAN; INTERVIEW; NURSE; PALLIATIVE THERAPY; PRIMARY MEDICAL CARE; TRAINING; UNITED KINGDOM; AGE; AGED; CLINICAL PATHWAY; CLINICAL PRACTICE; COMORBIDITY; DECISION SUPPORT SYSTEM; HEALTH CARE QUALITY; HEALTH CARE SURVEY; INTEGRATED HEALTH CARE SYSTEM; INTERDISCIPLINARY COMMUNICATION; KIDNEY FAILURE, CHRONIC; PATIENT CARE; PATIENT SELECTION; QUESTIONNAIRE; SEVERITY OF ILLNESS INDEX; TIME; TREATMENT OUTCOME; TRENDS;

AGE FACTORS; AGED; COMORBIDITY; CRITICAL PATHWAYS; DECISION SUPPORT TECHNIQUES; DELIVERY OF HEALTH CARE, INTEGRATED; GREAT BRITAIN; HEALTH CARE SURVEYS; HUMANS; INTERDISCIPLINARY COMMUNICATION; KIDNEY FAILURE, CHRONIC; PALLIATIVE CARE; PATIENT CARE TEAM; PATIENT SELECTION; PRACTICE PATTERNS, PHYSICIANS'; PROCESS ASSESSMENT (HEALTH CARE); SEVERITY OF ILLNESS INDEX; SURVEYS AND QUESTIONNAIRES; TIME FACTORS; TREATMENT OUTCOME;

EID: 84923931010     PISSN: 15559041     EISSN: 1555905X     Source Type: Journal    
DOI: 10.2215/CJN.05000514     Document Type: Article

References (26)

1. Murtagh FE, Marsh JE, Donohoe P, Ekbal NJ, Sheerin NS, Harris FE: Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5. Nephrol Dial Transplant 22: 1955–1962, 2007.
2. Smith C, Da Silva-Gane M, Chandna S, Warwicker P, Greenwood R, Farrington K: Choosing not to dialyse: evaluation of planned non-dialytic management in a cohort of patients with end-stage renal failure. Nephron Clin Pract 95: c40–c46, 2003.
3. Tamura MJ, Covinsky KE, Chertow GM, Yaffe K, Landefeld CS, McCulloch CE: Functional status of elderly adults before and after initiation of dialysis. N Engl J Med 361: 1539–1547, 2009.
4. Jassal SV, Watson D: Dialysis in late life: benefit or burden. Clin J Am Soc Nephrol 4: 2008–2012, 2009.
5. Jassal SV, Chiu E, Hladunewich M: Loss of independence in patients starting dialysis at 80 years of age or older. N Engl J Med 361: 1612–1613, 2009.
6. Chandna SM, Da Silva-Gane M, Marshall C, Warwicker P, Greenwood RN, Farrington K: Survival of elderly patients with stage 5 CKD: comparison of conservative management and renal replacement therapy. Nephrol Dial Transplant 26: 1608–1614, 2011.
7. Carson RC, Juszczak M, Davenport A, Burns A: Is maximum conservative management an equivalent treatment option to dialysis for elderly patients with significant comorbid disease? Clin J Am Soc Nephrol 4: 1611–1619, 2009.
8. Da Silva-Gane M, Wellsted D, Greenshields H, Norton S, Chandna SM, Farrington K: Quality of life and survival in patients with advanced kidney failure managed conservatively or by dialysis. Clin J Am Soc Nephrol 7: 2002–2009, 2012.
9. Wong CF, McCarthy M, Howse ML, Williams PS: Factors affecting survival in advanced chronic kidney disease patients who choose not to receive dialysis. Ren Fail 29: 653–659, 2007.
10. Hussain JA, Mooney A, Russon L: Comparison of survival analysis and palliative care involvement in patients aged over 70 years choosing conservative management or renal replacement therapy in advanced chronic kidney disease. Palliat Med 27: 829–839, 2013.
11. Morton RL, Turner RM, Howard K, Snelling P, Webster AC: Patients who plan for conservative care rather than dialysis: a national observational study in Australia. Am J Kidney Dis 59: 419–427, 2012.
12. Morton RL, Snelling P, Webster AC, Rose J, Masterson R, Johnson DW, Howard K: Factors influencing patient choice of dialysis versus conservative care to treat end-stage kidney disease. CMAJ 184: E277–E283, 2012.
13. van de Luijtgaarden MW, Noordzij M, van Biesen W, Couchoud C, Cancarini G, Bos WJ, Dekker FW, Gorriz JL, Iatrou C, Wanner C, Finne P, Stojceva-Taneva O, Cala S, Stel VS, Tomson C, Jager KJ: Conservative care in Europe–nephrologists’ experience with the decision not to start renal replacement therapy. Nephrol Dial Transplant 28: 2604–2612, 2013.
14. De Biase V, Tobaldini O, Boaretti C, Abaterusso C, Pertica N, Loschiavo C, Trabucco G, Lupo A, Gambaro G: Prolonged conservative treatment for frail elderly patients with end-stage renal disease: The Verona experience. Nephrol Dial Transplant 23: 1313–1317, 2008.
15. Joly D, Anglicheau D, Alberti C, Nguyen A-T, Touam M, Grünfeld J-P, Jungers P: Octogenarians reaching end-stage renal disease: Cohort study of decision-making and clinical outcomes. J AmSoc Nephrol 14: 1012–1021, 2003.
16. Seah AS, Tan F, Srinivas S, Wu HY, Griva K: Opting out of dialysis - Exploring patients’ decisions to forego dialysis in favour of conservative non-dialytic management for end-stage renal disease. Health Expect: 2013.
17. Shum CK, Tam KF, Chak WL, Chan TC, Mak YF, Chau KF: Outcomes in older adults with stage 5 chronic kidney disease: comparison of peritoneal dialysis and conservative management. J Gerontol A Biol Sci Med Sci 69: 308–314, 2014.
18. Teo BW, Ma V, Xu H, Li J, Lee EJ; Nephrology Clinical Research Group: Profile of hospitalisation and death in the first year after diagnosis of end-stage renal disease in a multi-ethnic Asian population. Ann Acad Med Singapore 39: 79–87, 2010.
19. Alston H: Conservative care for end-stage kidney disease: Joint medical conference with the Renal Association, British Geriatrics Society and Association for Palliative Medicine. Clin Med 13: 383–386, 2013.
20. Gunda S, Thomas M, Smith S: National survey of palliative care in end-stage renal disease in the UK. Nephrol Dial Transplant 20: 392–395, 2005.
21. UK Renal Registry: UK Renal Registry 16th Annual Report, Bristol, UK, UK Renal Registry, 2013.
22. Right Care NHS: Kidney failure treatment options—shared decision making. Available at http://sdm.rightcare.nhs.uk/pda/established-kidney-failure/. Accessed April 11, 2014.
23. Morton RL, Howard K, Webster AC, Snelling P: Patient INformation about Options for Treatment (PINOT): A prospective national study of information given to incident CKD Stage 5 patients. Nephrol Dial Transplant 26: 1266–1274, 2011.
24. Li L, Astor BC, Lewis J, Hu B, Appel LJ, Lipkowitz MS, Toto RD, Wang X, Wright JT Jr, Greene TH: Longitudinal progression trajectory of GFR among patients with CKD. Am J Kidney Dis 59: 504–512, 2012.
25. Bristowe K, Shepherd K, Bryan L, Brown H, Carey I, Matthews B, O’Donoghue D, Vinen K, Murtagh FE: The development and piloting of the REnal specific Advanced Communication Training (REACT) programme to improve Advance Care Planning for renal patients. Palliat Med 28: 360–366, 2014.
26. Hobson K, Gomm S, Murtagh F, Caress AL: National survey of the current provision of specialist palliative care services for patients with end-stage renal disease. Nephrol Dial Transplant 26: 1275–1281, 2011.