Multidisciplinary approach to advance care planning and directives in patients with end-stage renal disease: a point of view on patient-centered decision-making.

Advance care planning (ACP) End-stage kidney disease (ESKD) Multidisciplinary approach Patient-centered decision-making

Journal

Journal of nephrology
ISSN: 1724-6059
Titre abrégé: J Nephrol
Pays: Italy
ID NLM: 9012268

Informations de publication

Date de publication:
28 Jun 2024
Historique:
received: 05 12 2023
accepted: 26 04 2024
medline: 28 6 2024
pubmed: 28 6 2024
entrez: 28 6 2024
Statut: aheadofprint

Résumé

Implementing Advance Care Planning (ACP) for patients with End-Stage Kidney Disease (ESKD), particularly in the context of hemodialysis, presents significant challenges. Despite existing legal frameworks, disparities in advance care planning practices are evident across Europe. The present perspective introduces a multidisciplinary model, initiated in 2019. This model incorporates a specialized team comprising a nephrologist, a psychologist, a palliative care specialist, and an anesthesiologist/intensivist. Through this collaborative approach, we aimed to comprehensively address the intricate medical, emotional, and psychological dimensions in advance care planning. In this point of view, we discuss the strengths of our model, its potential for European Nephrology, and advocate for guidelines to enhance advance care planning implementation within the nephrology community.

Identifiants

pubmed: 38941001
doi: 10.1007/s40620-024-02002-w
pii: 10.1007/s40620-024-02002-w
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s) under exclusive licence to Italian Society of Nephrology.

Références

Sudore RL, Lum HD, You JJ et al (2017) Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel. J Pain Symptom Manage 53:821-832.e1. https://doi.org/10.1016/j.jpainsymman.2016.12.331
doi: 10.1016/j.jpainsymman.2016.12.331 pubmed: 28062339 pmcid: 5728651
Davison SN, Levin A, Moss AH et al (2015) Executive summary of the KDIGO controversies conference on supportive care in chronic kidney disease: developing a roadmap to improving quality care. Kidney Int 88:447–459. https://doi.org/10.1038/ki.2015.110
doi: 10.1038/ki.2015.110 pubmed: 25923985
Davison SN (2010) End-of-life care preferences and needs: perceptions of patients with chronic kidney disease. Clin J Am Soc Nephrol CJASN 5:195–204. https://doi.org/10.2215/CJN.05960809
doi: 10.2215/CJN.05960809 pubmed: 20089488
Rozi NRB, Bin Wan Ali WASR, Bin Draman CR et al (2022) Knowledge and perceptions on end-of-life care among end-stage renal disease patients on hemodialysis. Saudi J Kidney Dis Transplant 33:664–673. https://doi.org/10.4103/1319-2442.389426
doi: 10.4103/1319-2442.389426
Richards CA, Liu CF, Hebert PL et al (2019) Family perceptions of quality of end-of-life care for veterans with advanced CKD. Clin J Am Soc Nephrol CJASN 14:1324–1335. https://doi.org/10.2215/CJN.01560219
doi: 10.2215/CJN.01560219 pubmed: 31466952
Murray AM, Arko C, Chen SC et al (2006) Use of hospice in the United States dialysis population. Clin J Am Soc Nephrol CJASN 1:1248–1255. https://doi.org/10.2215/CJN.00970306
doi: 10.2215/CJN.00970306 pubmed: 17699355
Pollock C, James G, Garcia Sanchez JJ et al (2022) Cost of end-of-life inpatient encounters in patients with chronic kidney disease in the United States: a report from the DISCOVER CKD retrospective cohort. Adv Ther 39:1432–1445. https://doi.org/10.1007/s12325-021-02010-3
doi: 10.1007/s12325-021-02010-3 pubmed: 35112306 pmcid: 8810284
Brinkman-Stoppelenburg A, Rietjens JA, van der Heide A (2014) The effects of advance care planning on end-of-life care: a systematic review. Palliat Med 28:1000–1025. https://doi.org/10.1177/0269216314526272
doi: 10.1177/0269216314526272 pubmed: 24651708
Klingler C, in der Schmitten J, Marckmann G (2016) Does facilitated advance care planning reduce the costs of care near the end of life? Systematic review and ethical considerations. Palliat Med 30(5):423–433. https://doi.org/10.1177/0269216315601346
doi: 10.1177/0269216315601346 pubmed: 26294218
Veshi D, Neitzke G (2015) Advance directives in some Western European countries: a legal and ethical comparison between Spain, France, England, and Germany. Eur J Health Law 22:321–345. https://doi.org/10.1163/15718093-12341368
doi: 10.1163/15718093-12341368 pubmed: 26427271
Porcar Rodado E, Peral Sanchez D, Gisbert Grifo M (2021) Advance Directives. Comparison of current legislation within the European Union. Rev Esp Med Legal 47:66–73. https://doi.org/10.1016/j.reml.2020.05.009
doi: 10.1016/j.reml.2020.05.009
Ciliberti R, Gorini I, Gazzaniga V et al (2018) The Italian law on informed consent and advance directives: new rules of conduct for the autonomy of doctors and patients in end-of-life care. J Crit Care 48:178–182. https://doi.org/10.1016/j.jcrc.2018.08.039
doi: 10.1016/j.jcrc.2018.08.039 pubmed: 30216936
Simone G, Toccafondi A, Ferro G et al (2022) MO139: advance care planning in hemodialysis: a challenge for the Italian nephrology. Nephrol Dial Transplant. https://doi.org/10.1093/ndt/gfac066.041
doi: 10.1093/ndt/gfac066.041

Auteurs

Aris Tsalouchos (A)

Division of Nephrology and Dialysis, SMA Hospital, USL Toscana Centro, Florence, Italy.

Giuseppina Simone (G)

Division of Nephrology and Dialysis, SMA Hospital, USL Toscana Centro, Florence, Italy.

Pietro Claudio Dattolo (PC)

Division of Nephrology and Dialysis, SMA Hospital, USL Toscana Centro, Florence, Italy.

Alessandro Toccafondi (A)

Clinical Psychology, USL Toscana Centro, Florence, Italy.

Gabriele Gori (G)

Anesthesia and Intensive Care Unit, SMA Hospital, USL Toscana Centro, Florence, Italy.

Michela Nesi (M)

Palliative Care Unit, USL Toscana Centro, Florence, Italy.

Chiara Somma (C)

Division of Nephrology and Dialysis, SMA Hospital, USL Toscana Centro, Florence, Italy. chiara.somma@uslcentro.toscana.it.

Classifications MeSH