Medical College of Wisconsin, Milwaukee, USA
Medical College of Wisconsin, Milwaukee, USA.
Clin Med (Lond). 2019 Jan;19(1):26-29. doi: 10.7861/clinmedicine.19-1-26.
Patients with advanced chronic kidney disease (CKD), including end-stage renal disease (ESRD), have a life-threatening illness complicated by high morbidity and mortality and, therefore, should be suitable candidates for early intervention by palliative care specialists. However, the average patient with CKD does not have an advanced care plan, has multiple debilitating symptoms, and does not utilise hospice care at the end of life. In this review, we outline the scope of the problem of unmet palliative care needs for patients with advanced CKD and ESRD, barriers to improving palliative care for patients with renal failure, and possible future directions for palliative nephrology.
患有晚期慢性肾脏病（CKD）的患者，包括终末期肾病（ESRD）患者，患有危及生命的疾病，其发病率和死亡率都很高，因此应适合姑息治疗专家进行早期干预。然而，CKD 的普通患者没有制定高级护理计划，有多种衰弱性症状，在生命末期也没有利用临终关怀。在这篇综述中，我们概述了晚期 CKD 和 ESRD 患者未满足的姑息治疗需求问题的范围、改善肾衰竭患者姑息治疗的障碍，以及姑息肾脏病学的可能未来方向。
