TY - JOUR
T1 - Kidney Supportive Care in Peritoneal Dialysis
T2 - Developing a Person-Centered Kidney Disease Care Plan
AU - Lu, Emily
AU - Chai, Emily
N1 - Funding Information:
Emily Lu, MD, and Emily Chai, MD. None. The authors declare that they have no relevant financial interests. We thank Dr Jaime Uribarri for his insights regarding PD care planning and review of our manuscript. Received May 27, 2021 in response to an invitation from the journal. Evaluated by 3 external peer reviewers with direct editorial input from an Associate Editor and a Deputy Editor. Accepted in revised form October 21, 2021.
Publisher Copyright:
© 2021 The Authors.
PY - 2022/2
Y1 - 2022/2
N2 - Individuals receiving peritoneal dialysis (PD)—similar to those receiving hemodialysis —may experience high mortality coupled with a high symptom burden and reduced health-related quality of life. In this context, a discussion of the risks, benefits, and tradeoffs of PD and/or other kidney treatment modalities should be explored based on individual goals and preferences. Through these principles, kidney supportive care provides a person-centered approach to kidney disease care throughout the spectrum of kidney failure and earlier stages of chronic kidney disease. Kidney supportive care is offered in conjunction with life-prolonging therapies, including dialysis and kidney transplants, and is increasingly recognized as an integral part of advancing the care of PD patients. Using “My Kidney Care Roadmap” for shared decision making, kidney supportive care guides patients undergoing PD and their clinicians to (1) elicit patient goals, values, and priorities; (2) convey medical prognosis and suitable treatment options; and (3) ask “Which of these kidney treatment options will best help me achieve my goals and priorities?” to inform both current and future decisions, including choice of dialysis modalities, time-limited trials, and/or nondialysis management. Recognizing that patient priorities and choices may evolve, this framework ultimately allows patients to continually reassess their PD care to better achieve goal-directed dialysis.
AB - Individuals receiving peritoneal dialysis (PD)—similar to those receiving hemodialysis —may experience high mortality coupled with a high symptom burden and reduced health-related quality of life. In this context, a discussion of the risks, benefits, and tradeoffs of PD and/or other kidney treatment modalities should be explored based on individual goals and preferences. Through these principles, kidney supportive care provides a person-centered approach to kidney disease care throughout the spectrum of kidney failure and earlier stages of chronic kidney disease. Kidney supportive care is offered in conjunction with life-prolonging therapies, including dialysis and kidney transplants, and is increasingly recognized as an integral part of advancing the care of PD patients. Using “My Kidney Care Roadmap” for shared decision making, kidney supportive care guides patients undergoing PD and their clinicians to (1) elicit patient goals, values, and priorities; (2) convey medical prognosis and suitable treatment options; and (3) ask “Which of these kidney treatment options will best help me achieve my goals and priorities?” to inform both current and future decisions, including choice of dialysis modalities, time-limited trials, and/or nondialysis management. Recognizing that patient priorities and choices may evolve, this framework ultimately allows patients to continually reassess their PD care to better achieve goal-directed dialysis.
KW - Advance care planning
KW - chronic kidney disease
KW - dialysis
KW - end-stage kidney disease
KW - end-stage renal disease
KW - kidney failure
KW - kidney supportive care
KW - palliative care
KW - peritoneal dialysis
KW - renal failure
KW - renal palliative care
KW - shared decision-making
KW - supportive care
UR - http://www.scopus.com/inward/record.url?scp=85123736303&partnerID=8YFLogxK
U2 - 10.1016/j.xkme.2021.10.005
DO - 10.1016/j.xkme.2021.10.005
M3 - Review article
AN - SCOPUS:85123736303
SN - 2590-0595
VL - 4
JO - Kidney Medicine
JF - Kidney Medicine
IS - 2
M1 - 100392
ER -