Abstract

ABSTRACT

Improving care for older people with end-stage kidney disease (ESKD) requires the adaptation of standards to meet their needs. This may be complex due to their heterogeneity in terms of multimorbidity, frailty, cognitive decline and healthcare priorities. As benefits and risks are uncertain for these persons, choosing an appropriate treatment is a daily challenge for nephrologists. In this narrative review, we aimed to describe the issues associated with healthcare for older people, with a specific focus on decision-making processes; apply these concepts to the context of ESKD; identify components and modalities of shared decision-making and suggest means to improve care pathways. To this end, we propose a geronto-nephrology dynamic, described here as the necessary collaboration between these specialties. Underscoring gaps in the current evidence in this field led us to suggest priority research orientations.

Details

Title
How to make a shared decision with older persons for end-stage kidney disease treatment: the added value of geronto-nephrology
Author
Guerville, Florent 1 ; Pépin, Marion 2   VIAFID ORCID Logo  ; Garnier-Crussard, Antoine 3   VIAFID ORCID Logo  ; Jean-Baptiste Beuscart 4 ; Citarda, Salvatore 5 ; Aldjia Hocine 6 ; Villain, Cédric 7 ; Tannou, Thomas 8   VIAFID ORCID Logo 

1  Clinical Gerontology Department, Bordeaux University Hospital , Pessac , France 
2  Geriatrics Department, Ambroise Paré Hospital, APHP, Versailles St Quentin University , Boulogne-Billancourt , France 
3  Clinical and Research Memory Centre of Lyon, Lyon Institute For Aging, Charpennes Hospital, Clinical Research Center Ageing-Brain-Frailty, University Claude Bernard Lyon 1 , Hospices Civils de Lyon, Villeurbanne , France 
4  Université de Lille, CHU Lille , ULR 2694 - METRICS : Évaluation des technologies de santé et des pratiques médicales , Lille , France 
5  Centre associatif lyonnais de dialyse (Calydial) , Irigny , France 
6  Nephrology, Clinique du Landy, Saint-Ouen sur Seine, Nephrology Department, Hôpital Bichat , APHP, Paris , France 
7  Normandie Université UNICAEN , INSERM U1075 COMETE, service de Gériatrie, CHU de Caen, Caen , France 
8  Centre de recherche de l’Institut Universitaire de Gériatrie de Montréal , CIUSSS Centre -sud-de l’île-de-Montréal, Montreal, Quebec , Canada 
Publication year
2024
Publication date
Oct 2024
Publisher
Oxford University Press
ISSN
20488505
e-ISSN
20488513
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/ckj/sfae281
ProQuest document ID
3169605123
Copyright
© The Author(s) 2024. Published by Oxford University Press on behalf of the ERA. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.