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. 2013 Oct;8(10):1783-90.
doi: 10.2215/CJN.02180213. Epub 2013 Jun 6.

Five policies to promote palliative care for patients with ESRD

Manjula Kurella Tamura  1 , Diane E Meier
Affiliations

Five policies to promote palliative care for patients with ESRD

Manjula Kurella Tamura et al. Clin J Am Soc Nephrol. 2013 Oct.

Abstract

Patients with ESRD experience complex and costly care that does not always meet their needs. Palliative care, which focuses on improving quality of life and relieving suffering for patients with serious illnesses, could address a large unmet need among patients with ESRD. Strengthening palliative care is a top policy priority for health reform efforts based on strong evidence that palliative care improves value. This commentary outlines palliative care policies for patients with ESRD and is directed at policymakers, dialysis providers, nephrology professional societies, accreditation organizations, and funding agencies who play a key role in the delivery and determination of quality of ESRD care. Herein we suggest policies to promote palliative care for patients with ESRD by addressing key barriers, including the lack of access to palliative care, lack of capacity to deliver palliative care, and a limited evidence base. We also provide examples of how these policies could be implemented within the existing ESRD care infrastructure.

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References

    1. Goodman DC, Esty AR, Fisher ES, Chang CH: Trends and Variation in End-of-Life Care for Medicare Beneficiaries with Severe Chronic Illness: Hanover, NH: Dartmouth Institute for Health Policy and Clinical Practice, 2011 - PubMed
    1. Davison SN: Pain in hemodialysis patients: Prevalence, cause, severity, and management. Am J Kidney Dis 42: 1239–1247, 2003 - PubMed
    1. Weisbord SD, Fried LF, Arnold RM, Fine MJ, Levenson DJ, Peterson RA, Switzer GE: Prevalence, severity, and importance of physical and emotional symptoms in chronic hemodialysis patients. J Am Soc Nephrol 16: 2487–2494, 2005 - PubMed
    1. Hedayati SS, Minhajuddin AT, Toto RD, Morris DW, Rush AJ: Prevalence of major depressive episode in CKD. Am J Kidney Dis 54: 424–432, 2009 - PMC - PubMed
    1. Murray AM, Tupper DE, Knopman DS, Gilbertson DT, Pederson SL, Li S, Smith GE, Hochhalter AK, Collins AJ, Kane RL: Cognitive impairment in hemodialysis patients is common. Neurology 67: 216–223, 2006 - PubMed