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Consensus document on palliative care in cardiorenal patients

Clara Bonanad1,2,3, Juan M Buades4,5, Juan Pablo Leiva6

  • 1Cardiology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.

Frontiers in Cardiovascular Medicine
|January 5, 2024
PubMed

Insights

This document addresses the critical need for palliative care guidelines in cardiorenal patients, offering strategies for identification, care planning, and symptom management for those with heart failure and chronic kidney disease.

Area of Science:

  • Cardiology
  • Nephrology
  • Palliative Care

Background:

  • Cardiorenal patients, with coexisting chronic heart failure and chronic kidney disease, are increasingly prevalent due to population aging.
  • Existing guidelines address heart failure and kidney disease separately, lacking specific guidance for cardiorenal patients.
  • There is a significant unmet need for consensus documents on managing cardiorenal patients.

Purpose of the Study:

  • To establish consensus on palliative care for cardiorenal patients.
  • To provide guidance on identifying cardiorenal patients and planning their shared care.
  • To detail symptom management, advanced measures, dialysis considerations, and psychosocial support for this population.

Main Methods:

  • Multidisciplinary expert panel collaboration.
  • Review of existing guidelines for heart failure and chronic kidney disease.
  • Development of recommendations for palliative care in cardiorenal patients.

Main Results:

  • The document outlines a comprehensive approach to cardiorenal palliative care.
  • It covers patient identification, care trajectory, symptom control, and advanced interventions.
  • Considerations for dialysis and psychosocial support are included.

Conclusions:

  • Consensus guidelines are essential for the effective palliative management of cardiorenal patients.
  • A multidisciplinary approach is crucial for addressing the complex needs of these patients.
  • This document provides a framework for improving care quality and patient outcomes.

Keywords:
cardiorenal patientscardiovascular medicinechronic heart failurechronic kidney diseasepalliative care

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