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Updated: May 27, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

Best Evidence Summary for Volume Management of Patients With Heart and Kidney Comorbidity

Huang Aoli1, Chen Xia1, Zhu Xujing1

  • 1Cardiovascular Surgery Ward, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Nursing Open
|May 26, 2026
PubMed

Insights

Effective volume management for patients with heart and kidney conditions requires considering cultural factors and future research into diverse strategies. This evidence summary highlights key areas for improving patient outcomes in this complex comorbidity.

Area of Science:

  • Cardiology
  • Nephrology
  • Evidence-Based Practice

Background:

  • Patients with coexisting cardiac and renal disorders present complex fluid management challenges.
  • Optimal volume management is critical for improving clinical outcomes and quality of life.

Purpose of the Study:

  • To synthesize the best available evidence on volume management strategies for patients with concurrent heart and kidney conditions.
  • To identify gaps in current knowledge and inform future research directions.

Main Methods:

  • An evidence summary, utilizing a rapid review methodology.
  • Systematic searches were conducted across multiple databases and guideline repositories up to April 2024.
  • Literature screening, quality appraisal, and evidence extraction were performed by two independent researchers following established JBI (Joanna Briggs Institute) methods.

Main Results:

  • 36 articles were included, comprising systematic reviews, RCTs, quasi-experimental, cohort, and cross-sectional studies, expert consensus, and guidelines.
  • 37 evidence items were summarized, covering assessment, management strategies, education, dialysis modality selection, patient preferences, and multidisciplinary collaboration.
  • Key areas identified include patient education, dialysis modality choice, and interdisciplinary teamwork.

Conclusions:

  • Volume management in patients with heart and kidney comorbidity must account for cultural and regional variations.
  • Further research is recommended to evaluate the impact of various strategies, including dialysis protocols and interdisciplinary collaboration, on volume status and patient-reported outcomes.
Abstract

Keywords:
cardiac volumecardio‐renal syndromecomorbidityevidence‐based nursingheart failurerenal insufficiency

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