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NDT Advance Access originally published online on March 5, 2004
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Nephrol Dial Transplant (2004) 19: 1357-1360
Nephrol Dial Transplant Vol. 19 No. 6 © ERA-EDTA 2004; all rights reserved

Editorial Comment

Supportive care for the renal patient

Jeremy B. Levy1, E. Joanna Chambers2 and Edwina A. Brown1

1Renal Unit, Charing Cross Hospital, London and 2Southmead Hospital, Bristol, UK

Correspondence and offprint requests to: Dr Jeremy Levy, Renal Unit, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK. Email: j.levy@imperial.ac.uk

Keywords: death; end of life; palliative care; symptoms

The first 150 words of the full text of this article appear below.



   Introduction
 
This review summarizes the major topics discussed at a recent meeting ‘Supportive Care for the Renal Patient’ held in London, and the first such meeting to bring together nephrologists, renal nurses, renal counsellors, psychologists, social workers, and palliative care physicians and nurses to discuss improving the quality of care at the end of life in renal failure.



   An increasingly elderly population with renal failure
 
The management of patients with end-stage renal disease (ESRD) is changing. The average age of patients starting dialysis is increasing, and an increasing proportion of patients are now over 75 years of age. In the UK Renal Registry, almost 20% of patients starting dialysis were between 75 and 84 years old in 2001 [1]. These demographic trends have led more patients and doctors to ask whether everyone benefits from dialysis, whether resources are required to support other interventions and what additional support patients might reasonably need to maintain a high quality . . . [Full Text of this Article]



   Managing end of life on dialysis
 


   Supportive care
 


   Management of pain
 


   Non-dialytic treatment of ESRD
 


   Barriers and solutions to good supportive care
 

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