Nephrologists' perspectives and experiences with hospice among older adults with end-stage kidney disease

05/28/24 at 03:00 AM

Nephrologists' perspectives and experiences with hospice among older adults with end-stage kidney disease 
Journal of the American Geriatrics Society; by Melissa W WachtermanAnupallavi SinhaTarikwa LeveilleSushrut S WaikarEric WideraKai RomeroBarbara Bokhour; 5/22/24 
Background: ... Hospice use among older adults with end-stage kidney disease (ESKD) is markedly lower than among older adults with other serious illnesses, and the majority of those with ESKD who use hospice enroll in the last days of life. ... 
Conclusions: Our findings suggest that, in addition to Medicare policy change, nephrologists need to receive more training in primary palliative care skills including in indications for hospice, initiating conversations about hospice with patients, and collaborating with hospice clinicians to care for these vulnerable patients.

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