School of Medicine, Deakin University, Geelong Waurn Ponds Campus, Geelong, VIC, Australia.
University of Sydney at Westmead Hospital, Westmead, NSW, Australia.
Nat Rev Nephrol. 2020 Oct;16(10):603-613. doi: 10.1038/s41581-020-0295-4. Epub 2020 Jun 25.
The American Society of Nephrology, the European Renal Association-European Dialysis and Transplant Association and the International Society of Nephrology Joint Working Group on Ethical Issues in Nephrology have identified ten broad areas of ethical concern as priority challenges that require collaborative action. Here, we describe these challenges - equity in access to kidney failure care, avoiding futile dialysis, reducing dialysis costs, shared decision-making in kidney failure care, living donor risk evaluation and decision-making, priority setting in kidney disease prevention and care, the ethical implications of genetic kidney diseases, responsible advocacy for kidney health and management of conflicts of interest - with the aim of highlighting the need for ethical analysis of specific issues, as well as for the development of tools and training to support clinicians who treat patients with kidney disease in practising ethically and contributing to ethical policy-making.
美国肾脏病学会、欧洲肾脏协会-欧洲透析和移植协会以及国际肾脏病学会联合工作组确定了十个广泛的伦理关注领域，作为需要协作行动的优先挑战。在这里，我们描述了这些挑战——获得肾衰竭护理的公平性、避免无效的透析、降低透析成本、肾衰竭护理中的共同决策、活体供者风险评估和决策、肾脏疾病预防和护理的优先事项设置、遗传肾脏疾病的伦理含义、倡导肾脏健康的责任以及管理利益冲突——旨在强调需要对特定问题进行伦理分析，以及开发工具和培训，以支持治疗肾脏疾病患者的临床医生在实践中做到合乎伦理，并为伦理决策做出贡献。
