Palliative and End-of-Life Care in Nephrology

Moving From Observations to Interventions

Nwamaka D. Eneanya; Michael K. Paasche-Orlow; Angelo Volandes


Curr Opin Nephrol Hypertens. 2017;26(4):327-334. 

In This Article


Over the past decade, the amount of observational studies in nephrology investigating palliative care outcomes among seriously ill patients with advanced and end-stage kidney disease has grown significantly. The shift in nephrology toward interventions examining palliative care, shared decision-making, CKM and the education and empowerment of patients, family and clinicians has begun. However, much remains to be determined. Evidence-based models are greatly needed to improve treatment decision-making, quality of life and quality of death for seriously ill patients with CKD and ESRD. In addition, further exploration is needed to understand and ameliorate the patient, family, clinician and organizational phenomena that promulgate disparities in the acceptance and use of palliative care resources among diverse populations with advanced and end-stage kidney disease.