Chronic Kidney Disease
A published study suggested that a single-item question may help providers better understand the treatment preferences of patients with advanced chronic kidney disease and enable more effective discussions about patient goals.
“Nephrologists face multiple barriers with respect to advance care planning, namely, that patients with advanced CKD are medically complex, receive fragmented care and have uncertain trajectories,” Nicolas Awad Baddour, MD, of the department of medicine at the University of Washington, and colleagues wrote. “In addition, data on patient treatment preferences and possible advance care planning interventions are limited. Although patients have a variety of life experiences that affect their perspectives toward advance care planning, a majority prefer for providers to discuss prognosis and present multiple treatment options when faced with disease progression. However, many providers report reluctance to initiate these discussions, with fewer than 5% of nephrologists reporting a discussion of prognosis with their patients in one study.”
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