Communication Strategies for Kidney Disease in the Time of COVID-19

Lu, Emily

doi:10.1089/jpm.2020.0217

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…admission and/or dialysis. 39 Determining treatment limits in advance may help avoid futile treatment. 40 The development of guidelines to support decisionmaking for the allocation of dialysis resources should be prioritized as part of long-term planning in response to the pandemic in all countries, 41 with consideration for the local context and respect for the values and preferences of local stakeholders.…”

Section: Q10mentioning

confidence: 99%

“…acute start peritoneal dialysis) when possible; 27 , 35 , 37 Use transparent clinical criteria to inform decision-making based on the best available current evidence; 38 and Engage in advance care planning with patients, exploring their preferences with regards to treatment options if they develop COVID-19 and require ICU admission and/or dialysis. 39 Determining treatment limits in advance may help to avoid futile treatment. 40 …”

Section: Introductionmentioning

confidence: 99%

“…Engage in advance care planning with patients, exploring their preferences with regards to treatment options if they develop COVID-19 and require ICU admission and/or dialysis. 39 Determining treatment limits in advance may help to avoid futile treatment. 40 …”

Section: Introductionmentioning

confidence: 99%

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Ethics of kidney care in the era of COVID-19

Martin

Parsons

Caskey

et al. 2020

Kidney International

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The coronavirus disease 2019 pandemic presents significant challenges for health systems globally, including substantive ethical dilemmas that may pose specific concerns in the context of care for people with kidney disease. Ethical concerns may arise as changes in policy and practice affect the ability of all health professionals Q8 to fulfill their ethical duties toward their patients in providing best practice care. In this article, we briefly describe such concerns and elaborate on issues of particular ethical complexity in kidney care: equitable access to dialysis during pandemic surges; balancing the risks and benefits of different kidney failure treatments, specifically with regard to suspending kidney transplantation programs and prioritizing home dialysis, and barriers to shared decisionmaking; and ensuring ethical practice when using unproven interventions. We present preliminary advice on how to approach these issues and recommend urgent efforts to develop resources that will support health professionals and patients in managing them.

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Section: Q10mentioning

confidence: 99%