Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: developing a roadmap to improving quality care

Sara N Davison, Adeera Levin, Alvin H Moss, Vivekanand Jha, Edwina A Brown, Frank Brennan, Fliss E M Murtagh, Saraladevi Naicker, Michael J Germain, Donal J O'Donoghue, Rachael L Morton, Gregorio T Obrador, Kidney Disease: Improving Global Outcomes, Sara N Davison, Adeera Levin, Alvin H Moss, Vivekanand Jha, Edwina A Brown, Frank Brennan, Fliss E M Murtagh, Saraladevi Naicker, Michael J Germain, Donal J O'Donoghue, Rachael L Morton, Gregorio T Obrador, Kidney Disease: Improving Global Outcomes

Abstract

Patients with advanced chronic kidney disease (CKD) have a high burden of physical and psychosocial symptoms, poor outcomes, and high costs of care. Current paradigms of care for this highly vulnerable population are variable, prognostic and assessment tools are limited, and quality of care, particularly regarding conservative and palliative care, is suboptimal. The KDIGO Controversies Conference on Supportive Care in CKD reviewed the current state of knowledge in order to define a roadmap to guide clinical and research activities focused on improving the outcomes of people living with advanced CKD, including those on dialysis. An international group of multidisciplinary experts in CKD, palliative care, methodology, economics, and education identified the key issues related to palliative care in this population. The conference led to a working plan to address outstanding issues in this arena, and this executive summary serves as an output to guide future work, including the development of globally applicable guidelines.

References

    1. Int J Artif Organs. 2000 Apr;23(4):237-42
    1. Acta Med Scand. 1988;224(1):55-60
    1. Kidney Int. 2013 Jul;84(1):179-91
    1. Am J Kidney Dis. 1992 Feb;19(2):156-61
    1. Nephron Clin Pract. 2009;111(1):c74-80
    1. Am J Kidney Dis. 1996 Sep;28(3):372-8
    1. N Engl J Med. 2010 Apr 1;362(13):1173-80
    1. Clin Nephrol. 2013 Aug;80(2):88-97
    1. N Engl J Med. 2013 Mar 28;368(13):1173-5
    1. ASAIO Trans. 1991 Jul-Sep;37(3):M456-7
    1. JAMA Intern Med. 2013 Jul 8;173(13):1206-14
    1. Kidney Int. 2006 May;69(9):1662-8
    1. Nephrol Dial Transplant. 2007 Dec;22(12):3606-9
    1. Am J Kidney Dis. 2006 Jan;47(1):122-30
    1. Nephrol Dial Transplant. 2005 Mar;20(3):571-7
    1. Nephrol Dial Transplant. 2012 Oct;27(10):3736-45
    1. Int J Nurs Pract. 2006 Jun;12(3):143-52
    1. Pain Med. 2009 Jul-Aug;10(5):883-9
    1. J Eur Acad Dermatol Venereol. 2006 Jul;20(6):672-8
    1. Palliat Med. 2014 Feb;28(2):130-50
    1. Int Urol Nephrol. 2005;37(1):159-65
    1. Nephrol Dial Transplant. 2011 May;26(5):1608-14
    1. Nephron Clin Pract. 2003;95(2):c37-9
    1. Clin J Am Soc Nephrol. 2006 Nov;1(6):1248-55
    1. Oncologist. 2011;16(1):105-11
    1. Arch Dermatol. 1982 Mar;118(3):154-6
    1. Nephron Clin Pract. 2007;105(1):c35-42
    1. Hemodial Int. 2009 Jan;13(1):38-42
    1. Clin J Am Soc Nephrol. 2010 Aug;5(8):1410-9
    1. Saudi J Kidney Dis Transpl. 2010 Mar;21(2):300-5
    1. Clin J Am Soc Nephrol. 2013 Apr;8(4):675-80
    1. J Am Soc Nephrol. 1995 Aug;6(2):192-7
    1. Clin J Am Soc Nephrol. 2013 Oct;8(10):1783-90
    1. Kidney Int. 2009 Aug;76(4):414-21
    1. Med Decis Making. 2006 Mar-Apr;26(2):112-21
    1. Nephrol Dial Transplant. 2008 Mar;23(3):998-1004
    1. Artif Organs. 2008 Sep;32(9):711-6
    1. BMJ. 2010 Mar 23;340:c1345
    1. Health Expect. 2015 Oct;18(5):1018-29
    1. Value Health. 2009 Jan-Feb;12(1):80-7
    1. Clin J Am Soc Nephrol. 2010 Feb;5(2):195-204
    1. Am J Kidney Dis. 2005 Nov;46(5):919-24
    1. Clin J Am Soc Nephrol. 2006 Nov;1(6):1256-62
    1. J Adv Nurs. 2007 Sep;59(6):644-53
    1. Scand J Urol Nephrol. 2011 Nov;45(5):359-64
    1. Scand J Urol Nephrol. 2012 Dec;46(6):441-7
    1. Medicine (Baltimore). 2007 Nov;86(6):317-23
    1. Kidney Int. 2004 Nov;66(5):2047-53
    1. Helv Med Acta Suppl. 1969;49:88-99
    1. N Engl J Med. 2010 Dec 9;363(24):2287-300
    1. N Engl J Med. 2004 Jun 17;350(25):2582-90
    1. CMAJ. 2012 Mar 20;184(5):E277-83
    1. Qual Life Res. 2012 May;21(4):603-12
    1. An Bras Dermatol. 2011 Jan-Feb;86(1):31-6
    1. Nephrol Dial Transplant. 2004 Jan;19(1):95-9
    1. J Ren Nutr. 2013 Mar;23(2):106-13
    1. Nephrol Dial Transplant. 2009 May;24(5):1553-61
    1. Nephrol Dial Transplant. 1999 May;14(5):1163-70
    1. Clin J Am Soc Nephrol. 2011 Jul;6(7):1580-90
    1. Nephrol Dial Transplant. 2006 Oct;21(10 ):2814-20
    1. J Nephrol. 2004 Nov-Dec;17(6):826-32
    1. Ren Fail. 2008;30(10):1017-22
    1. J Am Acad Dermatol. 2003 Nov;49(5):842-6
    1. Clin J Am Soc Nephrol. 2014 Dec 5;9(12):2189-94
    1. J Am Soc Nephrol. 2000 Mar;11(3):514-9
    1. J Palliat Med. 2007 Dec;10(6):1245-7
    1. J Palliat Med. 2012 Feb;15(2):163-7
    1. Sb Lek. 2001;102(3):395-400
    1. Am J Kidney Dis. 2013 Sep;62(3):493-505
    1. Kidney Int. 2006 May;69(9):1626-32
    1. Am J Kidney Dis. 2003 Oct;42(4):813-20
    1. J Pain Symptom Manage. 2004 Mar;27(3):226-40
    1. Clin Rehabil. 2009 Jan;23(1):53-63
    1. Scand J Urol Nephrol. 2011 Dec;45(6):452-60
    1. Am J Kidney Dis. 2012 Jul;60(1):27-38
    1. Int Urol Nephrol. 2008;40(3):785-91
    1. J Ren Nutr. 2012 Jan;22(1):27-33
    1. Am J Nephrol. 1998;18(2):109-16
    1. J Palliat Med. 2007 Dec;10 (6):1266-76
    1. J Am Soc Nephrol. 2014 Jan;25(1):196-206
    1. Am J Kidney Dis. 2010 Sep;56(3):531-9
    1. Am J Kidney Dis. 2003 Oct;42(4):713-21
    1. BMJ. 2010 Jan 19;340:c112
    1. J Ren Care. 2010 Mar;36(1):9-15
    1. J Am Soc Nephrol. 2005 Aug;16(8):2487-94
    1. Hemodial Int. 2010 Oct;14(4):515-22
    1. J Nephrol. 2009 Mar-Apr;22(2):241-8
    1. Nephrol Dial Transplant. 2009 Jan;24(1):247-51
    1. Perit Dial Int. 2005 May-Jun;25(3):269-73
    1. Swiss Med Wkly. 2013 Feb 22;143:w13750
    1. ASAIO J. 2008 Mar-Apr;54(2):185-90
    1. J Clin Oncol. 2012 Dec 10;30(35):4380-6
    1. Nephrol Dial Transplant. 2003 Jan;18(1):126-32
    1. Nephrol Dial Transplant. 2012 Feb;27(2):758-65
    1. Palliat Med. 2014 Sep;28(8):1000-25
    1. Nephrol Dial Transplant. 2006 Nov;21(11):3189-95
    1. Clin J Am Soc Nephrol. 2014 Oct 7;9(10):1813-21
    1. Saudi J Kidney Dis Transpl. 2008 Jan;19(1):62-6
    1. J Nephrol. 2008 Mar-Apr;21 Suppl 13:S59-65
    1. Ren Fail. 2008;30(4):475-6
    1. Ren Fail. 2007;29(6):673-7
    1. Clin J Am Soc Nephrol. 2010 Jan;5(1):72-9
    1. Hautarzt. 1982 Jun;33(6):303-9
    1. Am J Kidney Dis. 1995 Nov;26(5):751-6
    1. Am J Kidney Dis. 2015 Feb;65(2):233-9
    1. Am J Kidney Dis. 2009 Sep;54(3):433-9
    1. Hemodial Int. 2008 Oct;12 Suppl 2:S20-4
    1. Semin Dial. 2014 Mar;27(2):188-204
    1. Am J Kidney Dis. 2012 Apr;59(4):495-503
    1. Semin Dial. 2012 Nov-Dec;25(6):611-6
    1. Nephrol Dial Transplant. 2006 Dec;21(12):3495-505
    1. Clin J Am Soc Nephrol. 2007 Sep;2(5):960-7
    1. Palliat Med. 2013 Oct;27(9):829-39
    1. Clin J Am Soc Nephrol. 2009 Oct;4(10):1611-9
    1. BMC Nephrol. 2013 Sep 11;14:194
    1. N Y State J Med. 1973 Nov 15;73(22):2670-4
    1. Clin Nephrol. 1985 Jun;23(6):285-8
    1. Rev Assoc Med Bras (1992). 2007 Nov-Dec;53(6):492-6
    1. EDTNA ERCA J. 2004 Oct-Dec;30(4):213-6
    1. Kidney Int. 2006 May;69(9):1621-5
    1. Am J Kidney Dis. 2007 Jan;49(1):27-36
    1. Qual Health Care. 1999 Dec;8(4):219-27
    1. Nephrol Dial Transplant. 2011 Jun;26(6):1976-83
    1. Clin J Am Soc Nephrol. 2007 Jan;2(1):107-11
    1. Nephrol Dial Transplant. 2003 Jul;18(7):1345-52
    1. Int J Psychiatry Med. 1988;18(4):365-74
    1. Am J Kidney Dis. 2006 Aug;48(2):277-84
    1. Saudi J Kidney Dis Transpl. 2012 Jan;23(1):15-20
    1. Clin Nephrol. 1990 Sep;34(3):136-41
    1. Sleep Med. 2005 Mar;6(2):101-6
    1. Nephrol Dial Transplant. 2006 Jan;21(1):184-90
    1. Am J Clin Nutr. 2004 Aug;80(2):299-307
    1. Clin Nephrol. 2006 Sep;66(3):184-91
    1. Nephrol Dial Transplant. 2002 May;17(5):852-6
    1. Soc Sci Med. 2000 Oct;51(7):1087-110
    1. Nephron. 2002 Sep;92(1):127-32
    1. Am J Kidney Dis. 2000 Oct;36(4):783-8
    1. Clin J Am Soc Nephrol. 2008 Sep;3(5):1379-84
    1. Ren Fail. 2014 Feb;36(1):39-45
    1. Clin Transplant. 2011 Jan-Feb;25(1):E13-21
    1. J Egypt Public Health Assoc. 2011;86(3-4):68-72
    1. Nephron. 1985;40(3):316-21
    1. Saudi J Kidney Dis Transpl. 2012 Jul;23(4):729-35
    1. J Am Geriatr Soc. 2010 Jul;58(7):1233-40
    1. Perit Dial Int. 2002 Nov-Dec;22(6):677-82
    1. Intern Med. 2006;45(22):1273-8
    1. Clin J Am Soc Nephrol. 2006 Sep;1(5):1023-8
    1. Nephrol Dial Transplant. 2007 Jul;22(7):1955-62
    1. J Pain Symptom Manage. 2010 Mar;39(3):477-85
    1. Psychol Health Med. 2013;18(1):70-8
    1. Nephrol Dial Transplant. 2013 Nov;28(11):2834-40
    1. Tex Med. 1975 Jan;71(1):74-9
    1. Chest. 2009 Jan;135(1):74-80
    1. J Dermatol. 2002 Oct;29(10):621-7
    1. Perit Dial Int. 1992;12(3):330-1
    1. Int Urol Nephrol. 2012 Apr;44(2):557-67
    1. BMJ. 2006 Oct 28;333(7574):886
    1. Medicina (Kaunas). 2005;41 Suppl 1:69-74
    1. Saudi J Kidney Dis Transpl. 2013 May;24(3):514-8
    1. Am J Kidney Dis. 2005 Oct;46(4):642-9
    1. Kidney Int. 2008 Oct;74(7):962; author reply 962-3
    1. Arch Intern Med. 2012 Apr 23;172(8):661-3; discussion 663-4
    1. Int Urol Nephrol. 2012 Jun;44(3):929-36
    1. Nephrol Dial Transplant. 2008 Nov;23(11):3685-9
    1. Cas Lek Cesk. 2001 Aug;140(16):500-2
    1. Clin J Am Soc Nephrol. 2009 Mar;4(3):572-8
    1. Nephrol Dial Transplant. 2014 Mar;29(3):625-35
    1. Semin Dial. 2006 May-Jun;19(3):210-6
    1. Perit Dial Int. 2007 Nov-Dec;27(6):675-80

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