Curriculum „Palliative nephrologische Betreuung“ <span class="so-article-trans-title" dir="auto"> Translated title: Consensus Paper “Palliative renal care” </span>

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Abstract

Palliativmedizinische Aspekte wie Dialysevorenthalt und -abbruch, Einleitung einer konservativen Therapie sowie kooperative Betreuung am Lebensende sind zunehmend Teil der nephrologischen Regelversorgung geworden. Die entsprechende Wissensvermittlung palliativmedizinischer Grundsätze fehlt bislang in Aus- und Weiterbildung. In diesem Konsensuspapier wird für das nephrologische Team eine strukturierte kurrikuläre Weiterbildung zu den Grundprinzipien einer palliativen Betreuung vorgeschlagen.

Translated abstract

Aspects of palliative medicine such as withholding and withdrawal of dialysis, initiating conservative therapy and cooperative end-of-life care have increasingly become part of standard renal care. The corresponding transfer of knowledge of palliative medicine principles has so far been lacking in training and further education. This consensus paper proposes structured curricular training for the kidney team based on principles of palliative care.

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Most cited references 27

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Results from the ERA-EDTA Registry indicate a high mortality due to COVID-19 in dialysis patients and kidney transplant recipients across Europe.

Kitty Jager, Anneke Kramer, Nicholas Chesnaye … (2020)

The aim of this study was to investigate 28-day mortality after COVID-19 diagnosis in the European kidney replacement therapy population. In addition, we determined the role of patient characteristics, treatment factors, and country on mortality risk using ERA-EDTA Registry data on patients receiving kidney replacement therapy in Europe between February 1, 2020 and April 30, 2020. Additional data on all patients with a diagnosis of COVID-19 were collected from seven European countries encompassing 4298 patients. COVID-19 attributable mortality was calculated using propensity-score matched historic controls and after 28 days of follow-up was 20.0% (95% confidence interval 18.7%-21.4%) in 3285 patients receiving dialysis, and 19.9% (17.5%-22.5%) in 1013 recipients of a transplant. We identified differences in COVID-19 mortality across countries, and an increased mortality risk in older patients receiving kidney replacement therapy and male patients receiving dialysis. In recipients of kidney transplants older than 75 years of age 44.3% (35.7%-53.9%) did not survive COVID-19. Mortality risk was 1.28 (1.02-1.60) times higher in transplant recipients compared with matched dialysis patients. Thus, the pandemic has had a substantial effect on mortality in patients receiving kidney replacement therapy; a highly vulnerable population due to underlying chronic kidney disease and high prevalence of multimorbidity.

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Record: found
Abstract: not found
Article: not found

Generalist plus specialist palliative care--creating a more sustainable model.

Timothy Quill, Amy Abernethy (2013)

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Record: found
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Octogenarians and nonagenarians starting dialysis in the United States.

Manjula Kurella, Kenneth E Covinsky, Alan J Collins … (2007)

The elderly constitute the fastest-growing segment of the end-stage renal disease (ESRD) population, but the epidemiology and outcomes of dialysis among the very elderly, that is, those 80 years of age and older, have not been previously examined at a national level. To describe recent trends in the incidence and outcomes of octogenarians and nonagenarians starting dialysis. Observational study. U.S. Renal Data System, a comprehensive, national registry of patients with ESRD. Octogenarians and nonagenarians initiating dialysis between 1996 and 2003. Rates of dialysis initiation and survival. The number of octogenarians and nonagenarians starting dialysis increased from 7054 persons in 1996 to 13,577 persons in 2003, corresponding to an average annual increase in dialysis initiation of 9.8%. After we accounted for population growth, the rate of dialysis initiation increased by 57% (rate ratio, 1.57 [95% CI, 1.53 to 1.62]) between 1996 and 2003. One-year mortality for octogenarians and nonagenarians after dialysis initiation was 46%. Compared with octogenarians and nonagenarians initiating dialysis in 1996, those starting dialysis in 2003 had a higher glomerular filtration rate and less morbidity related to chronic kidney disease but no difference in 1-year survival. Clinical characteristics strongly associated with death were older age, nonambulatory status, and more comorbid conditions. Survival of patients with incident ESRD who did not begin dialysis could not be assessed. The number of octogenarians and nonagenarians initiating dialysis has increased considerably over the past decade, while overall survival for patients on dialysis remains modest. Estimates of prognosis based on patient characteristics, when considered in conjunction with individual values and preferences, may aid in dialysis decision making for the very elderly.

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Author and article information

Contributors

Wolfgang Pommer: wolfgang.pommer@kfh.de

Journal

Journal ID (nlm-ta): Nephrologe

Journal ID (iso-abbrev): Nephrologe

Title: Der Nephrologe

Publisher: Springer Medizin (Heidelberg )

ISSN (Print): 1862-040X

ISSN (Electronic): 1862-0418

Publication date (Electronic): 24 September 2021

Pages: 1-5

Affiliations

[1 ]Niederrheinische Akademie für medizinische Fort- und Weiterbildung, Dinslaken, Deutschland

[2 ]Kuratorium für Dialyse und Nierentransplantation (KfH) – Bildungszentrum, Martin-Behaim-Str. 20, 63263 Neu-Isenburg, Deutschland

Article

Publisher ID: 536

DOI: 10.1007/s11560-021-00536-9

PMC ID: 8475426

PubMed ID: 34603535

SO-VID: ead9c0ba-5f6e-4db0-8c21-54aa8341d329

License:

This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

History

Date accepted : 1 September 2021

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