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扩大血液透析血管通路规划中共同决策的范围:跨专业协作的案例

Expanding the scope of shared decision-making in vascular access planning for hemodialysis: a case for interprofessional collaboration.

作者信息

Liu Andrea Yu-Ling, Hammes Mary, Angelos Peter, Kondamuri Neil, Harriett Lauren, Suah Ashley, Skolarus Ted Albert

机构信息

Department of Surgery, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA.

MacLean Center for Clinical Medical Ethics, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA.

出版信息

BMC Nephrol. 2025 Jul 1;26(1):297. doi: 10.1186/s12882-025-04261-6.

Abstract

Vascular access planning guidelines have shifted from a fistula-centered to a patient-centered approach. We advocate for expansion of the shared decision-making dyad between the nephrology team and patient to include other vascular access planning stakeholders. We propose earlier and consistent interprofessional collaboration facilitates more constructive discussions that could improve outcomes.

摘要

血管通路规划指南已从以动静脉内瘘为中心的方法转变为以患者为中心的方法。我们主张扩大肾脏病团队与患者之间的共同决策二元组,将其他血管通路规划利益相关者纳入其中。我们建议早期且持续的跨专业协作有助于开展更具建设性的讨论,从而改善治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12211120/401aee4894f2/12882_2025_4261_Fig1_HTML.jpg

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