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Updated: May 12, 2026

Murine Renal Transplantation Procedure
18:48

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Published on: July 10, 2009

Running and setting up a Renal Supportive Care program.

Mark Brown1, Cathy Miller2

  • 1Depts Renal Medicine and Medicine, St George Hospital and University of NSW, Sydney, NSW.

Nephrology (Carlton, Vic.)
|April 17, 2013
PubMed
Summary
This summary is machine-generated.

A new care model integrates renal and palliative medicine for patients with end-stage kidney disease not on dialysis. This approach, called HOPE (Helping Older Patients with End-stage kidney disease), focuses on symptom control and holistic care.

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Area of Science:

  • Nephrology
  • Palliative Medicine
  • Geriatric Care

Background:

  • Lack of a standardized care model for non-dialysis conservative pathways in end-stage kidney disease (ESKD).
  • Divergent approaches to care models for ESKD patients in the UK and globally.
  • Need for integrated care addressing both nephrological and palliative needs.

Purpose of the Study:

  • To present a multidisciplinary care model for patients with ESKD on a conservative non-dialysis pathway.
  • To describe the HOPE (Helping Older Patients with End-stage kidney disease) program.
  • To highlight the integration of renal and palliative medicine.

Main Methods:

  • Development and implementation of the HOPE program at St. George hospital, Sydney.
  • Formation of a multidisciplinary team (MDT) integrating Renal and Palliative Medicine.
  • Focus on optimizing nephrology care alongside symptom control and holistic support.

Main Results:

  • The HOPE program provides a structured approach to conservative care for ESKD patients.
  • Integration of renal and palliative care enhances patient support.
  • Emphasis on symptom management, holistic well-being, and facilitating a 'good death'.

Conclusions:

  • The HOPE model offers a consistent and integrated approach for patients with ESKD on conservative pathways.
  • Multidisciplinary collaboration between renal and palliative medicine is crucial.
  • This model supports patients and families by addressing physical, spiritual, and end-of-life care needs.