Experiences of US Nephrologists in the Delivery of Conservative Care to Patients With Advanced Kidney Disease: A National Qualitative Study.

ABSTRACT:

Rationale & objective

It is relatively unusual for US patients with advanced chronic kidney disease (CKD) to forgo initiation of maintenance dialysis. Our objective was to describe practice approaches of US nephrologists who have provided conservative care for members of this population.

Study design

Qualitative study using semi-structured interviews.

Setting & participants

A national sample of 21 nephrologists experienced in caring for patients with advanced CKD who decided not to start dialysis.

Analytical approach

Grounded theory methods to identify dominant themes reflecting nephrologists' experiences with and approaches to conservative care for patients with advanced CKD.

Results

Nephrologists who participated in this study were primarily from acade

SUBMITTER: Wong SPY 

PROVIDER: S-EPMC7012760 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature