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041 _afre
042 _adc
100 1 0 _aHamroun, Aghilès
_eauthor
700 1 0 _aGlowacki, François
_eauthor
245 0 0 _aConservative care in the treatment of chronic kidney failure
260 _c2023.
500 _a62
520 _aComprehensive “conservative care” is defined as any active therapeutic procedure for the management of stage 5 chronic kidney disease without recourse to dialysis. This therapeutic option is discussed in the case of older, frail patients whose anticipated life expectancy is reduced with dialysis. The decision for conservative management primarily relies on an informed choice by the patient and their caregivers. This holistic approach, focused on quality of life, requires a multidisciplinary approach. The goals are to slow the progression of kidney disease, prevent complications, anticipate the risks of decompensation, and provide support for the patient and their caregivers in order to maintain the best possible quality of life at home. This article describes the principles of conservative management, highlights various barriers to this care pathway, and proposes potential solutions.
786 0 _nNéphrologie & Thérapeutique | Volume 19 | Suppl. Issue 1 | 2023-09-26 | p. 21-29 | 1769-7255
856 4 1 _uhttps://stm.cairn.info/journal-nephrologie-et-therapeutique-2024-HS1-page-21?lang=en&redirect-ssocas=7080
999 _c1613534
_d1613534