Sociedade Brasileira de Nefrologia, Comitê de Cuidados Paliativos, São Paulo, SP, Brasil.
Hospital Santa Paula, São Paulo, SP, Brasil.
J Bras Nefrol. 2021 Jan-Mar;43(1):74-87. doi: 10.1590/2175-8239-JBN-2020-0017.
Chronic kidney disease (CKD) has become a public health burden worldwide for its increasing incidence and prevalence, high impact on the health related quality of life (HRQoL) and life expectancy, and high personal and social cost. Patients with advanced CKD, in dialysis or not, suffer a burden from symptoms very similar to other chronic diseases and have a life span not superior to many malignancies. Accordingly, in recent years, renal palliative care has been recommended to be integrated in the traditional care delivered to this population. This research provides an updated overview on renal palliative care from the relevant literature.
慢性肾脏病(CKD)的发病率和患病率不断上升,对健康相关生活质量(HRQoL)和预期寿命的影响较大,个人和社会成本较高,已成为全球公共卫生负担。晚期 CKD 患者(无论是否接受透析治疗)都承受着与其他慢性疾病非常相似的症状负担,其预期寿命并不优于许多恶性肿瘤。因此,近年来,建议将肾脏姑息治疗纳入到为这一人群提供的传统治疗中。本研究从相关文献中提供了关于肾脏姑息治疗的最新概述。