Chronic kidney disease and the global public health agenda: an international consensus

Nature Reviews Nephrology, Journal Year: 2024, Volume and Issue: 20(7), P. 473 - 485

Published: April 3, 2024

Language: Английский

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Differences in the epidemiology, management and outcomes of kidney disease in men and women

Nature Reviews Nephrology, Journal Year: 2023, Volume and Issue: 20(1), P. 7 - 20

Published: Nov. 20, 2023

Language: Английский

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The impact of population ageing on the burden of chronic kidney disease

Nature Reviews Nephrology, Journal Year: 2024, Volume and Issue: 20(9), P. 569 - 585

Published: July 18, 2024

Language: Английский

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Fatigue in Patients Receiving Maintenance Hemodialysis: A Review

American Journal of Kidney Diseases, Journal Year: 2023, Volume and Issue: 82(4), P. 464 - 480

Published: May 13, 2023

Language: Английский

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Anxiety as a mediator between symptom distress and quality of life in peritoneal dialysis patients: insights from mediation analysis and nonlinear models

Renal Failure, Journal Year: 2025, Volume and Issue: 47(1)

Published: Feb. 3, 2025

Objectives This study investigates anxiety's role as a mediator between symptom burden and quality of life in patients undergoing peritoneal dialysis, emphasizing the potential for targeted interventions to enhance patient outcomes.

Language: Английский

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Decoding Symptom Complexity for Clinical Nursing Assessment: A Systematic Review of Simplification Strategies in Hemodialysis Patients

Worldviews on Evidence-Based Nursing, Journal Year: 2025, Volume and Issue: 22(2)

Published: March 10, 2025

Patients with chronic kidney disease on hemodialysis experience complex symptom clusters that impact their quality of life. Simplifying management is essential to improve patient care and outcomes. However, there no comprehensive evaluation these simplification methods in current literature. To evaluate synthesize strategies for simplifying the symptomatology associated outcomes practices. We conducted a systematic review. performed literature search across Pubmed, CINAHL, Embase, Web Science, Scopus, CNKI, VIP database, Wanfang April 2024. Data synthesis was narrative due heterogeneity methodologies. Studies were selected based predefined criteria focused among adult patients. Articles retrieved assessed relevance through identified 18 eligible studies from an initial pool 18,324 records, focusing variable-centered, person-centered approaches identifying main symptoms simplification. The varied significantly methodological findings but commonly reported correlated poor This review underlines critical areas advancement strategic integration. Our emphasize necessity implementing simplified assessment protocols routine clinical practice, thereby enhancing engagement Additionally, results advocate ongoing research into personalized approaches, underscoring potential decrease burden significantly. These insights should inform both policy educational programs, encouraging adoption standardized practices healthcare systems. Moreover, study highlights need align patient-reported outcomes, fostering more patient-centered approach settings. Ultimately, this evidence guide efforts better equip providers tools necessary effective care. PROSPERO: CRD42023473789.

Language: Английский

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Metabolites Associated With Uremic Symptoms in Patients With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study

American Journal of Kidney Diseases, Journal Year: 2024, Volume and Issue: 84(1), P. 49 - 61.e1

Published: Jan. 23, 2024

Language: Английский

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Shared decision making in elderly patients with kidney failure

Nephrology Dialysis Transplantation, Journal Year: 2023, Volume and Issue: 39(5), P. 742 - 751

Published: Sept. 23, 2023

ABSTRACT ‘Elderly’ is most commonly defined as an individual aged 65 years or older. However, this definition fails to account for the differences in genetics, lifestyle and overall health that contribute significant heterogeneity among elderly beyond chronological age. As world population continues age, prevalence of chronic diseases, including kidney disease (CKD), increasing CKD frequently progresses failure. Moreover, frailty represents a multidimensional clinical entity highly prevalent population, which needs be adequately assessed inform support medical decisions. Selecting optimal treatment pathway frail failure it haemodialysis, peritoneal dialysis conservative management, complex because presence comorbidities associated with low survival rates impaired quality life. Management these patients should involve multidisciplinary approach doctors from various specialties, nurses, psychologists, dieticians physiotherapists. Studies are mostly retrospective observational, lacking adjustment confounders addressing selection indication biases, making difficult use data guide Throughout review we discuss difficulty one-size-fits-all recommendation older We advocate research agenda optimization critical issues present implemented. recommend prospective studies address issues, systematic reviews incorporating complementary evidence both observational interventional studies. Furthermore, strongly shared decision-making process matching patient preferences ensure individualized choices made regarding vs modality vascular access.

Language: Английский

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Implementation of patient-reported outcome dashboards within the electronic health record to support shared decision-making in serious chronic illness

BMJ Open Quality, Journal Year: 2025, Volume and Issue: 14(1), P. e002837 - e002837

Published: Jan. 1, 2025

Background Attending to patient-reported outcomes (PROs) using data visualisation dashboards could enhance shared decision-making (SDM) and care delivery for serious chronic illnesses. However, few studies have evaluated real-world strategies resulting implementation of PRO dashboards. Method From June 2020 January 2022, we implemented an electronic health record (EHR)-integrated dashboard advanced cancer kidney disease. Based on science guidelines (eg, Framework Reporting Adaptations Modifications Evidence-based Implementation Strategies, Reach, Effectiveness, Adoption, Implementation, Maintenance), monitored use captured adaptations in strategies. Clinicians (n=7) patients (n=30) responded a 6-month survey that included appropriateness, acceptability, adoption sustainability. Results Out 1450 eligible patients, 748 (52%) completed at least one invitation (reach). 37% questionnaire invitations (1421/3882) were (fidelity completion), with higher rates occurring when more adopted. Among postvisit surveys from 57% indicated the was discussed visit use). In survey, endorsed dashboard’s acceptability appropriateness: 77% felt it frequently provided clear information 63% met their needs. Most (77%) clinicians (86%) valued increasing SDM, clinical Discussion This pilot study demonstrated feasibility implementing EHR-integrated also point areas improvement, including further support patient clinician engagement, completion sustainability implementation.

Language: Английский

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Dialysetherapie beim älteren Menschen

Deleted Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 28, 2025

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