Idioma:

The current and future landscape of dialysis

Himmelfarb, Jonathan ; Vanholder, Raymond ; Mehrotra, Rajnish ; Tonelli, Marcello

Nature reviews. Nephrology, 2020-10, Vol.16 (10), p.573-585 [Periódico revisado por pares]

England: Nature Publishing Group

Texto completo disponível

Citações Citado por

Enviar para

Título:
The current and future landscape of dialysis
Autor: Himmelfarb, Jonathan ; Vanholder, Raymond ; Mehrotra, Rajnish ; Tonelli, Marcello
Assuntos: Care and treatment ; Dialysis - instrumentation ; Dialysis - methods ; Dialysis - statistics & numerical data ; Dialysis - trends ; Epidemiology ; Forecasting ; Forecasts and trends ; Global Health - economics ; Global Health - statistics & numerical data ; Health Care Costs - statistics & numerical data ; Hemodialysis ; History ; Humans ; Innovations ; Inventions - trends ; Kidney failure ; Kidneys, Artificial - ethics ; Kidneys, Artificial - statistics & numerical data ; Methods ; Patients ; Peritoneal Dialysis - instrumentation ; Peritoneal Dialysis - methods ; Peritoneal Dialysis - statistics & numerical data ; Peritoneal Dialysis - trends ; Renal Dialysis - instrumentation ; Renal Dialysis - methods ; Renal Dialysis - statistics & numerical data ; Renal Dialysis - trends ; Renal Insufficiency - epidemiology ; Renal Insufficiency - therapy ; Review
É parte de: Nature reviews. Nephrology, 2020-10, Vol.16 (10), p.573-585
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: The development of dialysis by early pioneers such as Willem Kolff and Belding Scribner set in motion several dramatic changes in the epidemiology, economics and ethical frameworks for the treatment of kidney failure. However, despite a rapid expansion in the provision of dialysis - particularly haemodialysis and most notably in high-income countries (HICs) - the rate of true patient-centred innovation has slowed. Current trends are particularly concerning from a global perspective: current costs are not sustainable, even for HICs, and globally, most people who develop kidney failure forego treatment, resulting in millions of deaths every year. Thus, there is an urgent need to develop new approaches and dialysis modalities that are cost-effective, accessible and offer improved patient outcomes. Nephrology researchers are increasingly engaging with patients to determine their priorities for meaningful outcomes that should be used to measure progress. The overarching message from this engagement is that while patients value longevity, reducing symptom burden and achieving maximal functional and social rehabilitation are prioritized more highly. In response, patients, payors, regulators and health-care systems are increasingly demanding improved value, which can only come about through true patient-centred innovation that supports high-quality, high-value care. Substantial efforts are now underway to support requisite transformative changes. These efforts need to be catalysed, promoted and fostered through international collaboration and harmonization.
Editor: England: Nature Publishing Group
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

The current and future landscape of dialysis

Himmelfarb, Jonathan ; Vanholder, Raymond ; Mehrotra, Rajnish ; Tonelli, Marcello

England: Nature Publishing Group

Buscando em bases de dados remotas. Favor aguardar.