ArticleJournal of the American Society of Nephrology : JASN2014
A patient-centered vision of care for ESRD: dialysis as a bridging treatment or as a final destination?
Article in Journal of the American Society of Nephrology : JASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Patient engagement during the transition from nondialysis-dependent chronic kidney disease to dialysis: A meta-ethnography.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Update of dialysis initiation timing in end stage kidney disease patients: is it a resolved question? A systematic literature review.BMC nephrology · 2023Pooled it
- Renal Association Clinical Practice Guideline on Haemodialysis.BMC nephrology · 2019Guideline
- Evaluation of a Decision Aid in Kidney Care Counseling for Older Adults.Kidney international reports · 2026Article
- On the Importance of a Clear Definition of Time Horizon for Time-to-Event Dynamic Predictions: A Systematic Review and a Concrete Illustration in Kidney Transplantation.Clinical epidemiology · 2026Article
- A holistic framework for intradialytic hypotension prediction using generative adversarial networks-based data balancing.BMC medical informatics and decision making · 2025Article
- Aging and chronic kidney disease: epidemiology, therapy, management and the role of immunity.Clinical kidney journal · 2024Review
- Designing an Implementable Clinical Prediction Model for Near-Term Mortality and Long-Term Survival in Patients on Maintenance Hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024Article
- Kidney Clinicians' Perceptions of Challenges and Aspirations to Improve End-Of-Life Care Provision.Kidney international reports · 2023Article
- Development and Acceptability of a Kidney Therapy Decision Aid for Patients Aged 75 Years and Older: A Design-Based Research Involving Patients, Caregivers, and a Multidisciplinary Team.Kidney medicine · 2023Article
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- Dialysis Organization Online Information on Kidney Failure Treatments: A Content Analysis Using Corpus Linguistics.Kidney medicine · 2022Article
- Health-Related Quality of Life and Disability Among Older New Zealanders With Kidney Failure: A Prospective Study.Canadian journal of kidney health and disease · 2022Article
- Frailty in CKD and Transplantation.Kidney international reports · 2021Review
- Validation of prognostic indices for short term mortality in an incident dialysis population of older adults >75.PloS one · 2021Article
- Supporting and maintaining the frail patient on long-term renal replacement therapy.Clinical medicine (London, England) · 2020Article
- Sodium, volume and pressure control in haemodialysis patients for improved cardiovascular outcomes.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020Review
- Association of Family Ratings of Quality of End-of-Life Care With Stopping Dialysis Treatment and Receipt of Hospice Services.JAMA network open · 2019Observational
- A call to action to inform patient-centred approaches to obesity management: Development of a disease-illness model.Clinical obesity · 2019Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ESRD population is heterogeneous, including patients without severe comorbidity for whom dialysis is a bridge to transplantation or a long-term maintenance treatment, as well as patients with a limited life expectancy as a result of advanced age or severe comorbidity for whom dialysis will be the final treatment destination. The complex medical and social context of this latter group fits poorly in the homogeneous, disease-centered, and process-driven approach of many clinical practice guidelines for dialysis. In this commentary, we argue that the standards of treatment allocated to each individual patient should be defined not merely by his or her disease state, but also by his or her preferences and prognosis. In this more patient-centered approach, three attainable treatment goals with a corresponding therapeutic approach could be defined: (1) dialysis as bridging or long-term maintenance treatment, (2) dialysis as final treatment destination, and (3) active medical management without dialysis. For patients with a better overall prognosis, this approach will emphasize complication prevention and long-term survival. For patients with a limited overall prognosis, strictly disease-centered interventions often impose a treatment burden that does not translate into a proportional improvement in quantity or quality of life. For these patients, a patient-centered approach will place more emphasis on palliative management strategies that are less disease specific.
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