Browsing by Author "Adrian Liew"
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- PublicationDeveloping the ethical framework of end-stage kidney disease care: from practice to policy(2020)
;Valerie A. Luyckx ;Dominique E. Martin ;Mohammed Rafique Moosa ;Aminu K. Bello ;Ezequiel Bellorin-Font ;Tak Mao Chan ;Rolando Claure-Del Granado ;Walter Douthat ;Somchai Eiam-Ong ;Felicia U. Eke ;Bak Leong Goh ;Vivekanand Jha ;Evie Kendal ;Adrian Liew ;Yewondwossen Tadesse Mengistu ;Elmi Muller ;Ikechi G. Okpechi ;Eric Rondeau ;Manisha Sahay ;Michele TraskTushar VachharajaniEthical issues relating to end-stage kidney disease (ESKD) care are increasingly being discussed by clinicians and ethicists but are still infrequently considered at a policy level or in the education and training of health care professionals. In most lower-income countries, access to kidney replacement therapies such as dialysis is not universal, leading to overt or implicit rationing of resources and potential exclusion from care of those who are unable to sustain out-of-pocket payments. These circumstances create significant inequities in access to ESKD care within and between countries and impose emotional and moral burdens on patients, families, and health care workers involved in decision-making and provision of care. End-of-life decision-making in the context of ESKD care in all countries may also create ethical dilemmas for policy makers, professionals, patients, and their families. This review outlines several ethical implications of the complex challenges that arise in the management of ESKD care around the world. We argue that more work is required to develop the ethics of ESKD care, so as to provide ethical guidance in decision-making and education and training for professionals that will support ethical practice in delivery of ESKD care. We briefly review steps that may be required to accomplish this goal, discussing potential barriers and strategies for success. - PublicationStrategic plan for integrated care of patients with kidney failure(Elsevier Inc., 2020)
;David C.H. Harris ;Simon J. Davies ;Fredric O. Finkelstein ;Vivekanand Jha ;Aminu K. Bello ;Mark Brown ;Fergus J. Caskey ;Jo-Ann Donner ;Adrian Liew ;Elmi Muller ;Saraladevi Naicker ;Philip J. O’Connell ;Roberto Pecoits Filho ;Tushar Vachharajani ;Ali K. Abu Alfa ;Gloria Ashuntantang ;Edwina Brown ;Brett Cullis ;Gavin Dreyer ;Felicia U. Eke ;Guillermo Garcia Garcia ;Bak Leong Goh ;Brenda Hemmelgarn ;Fan Fan Hou ;Arpana Iyengar ;David W. Johnson ;Nathan W. Levin ;Valerie A. Luyckx ;Dominique E. Martin ;Mignon I. McCulloch ;Yewondwossesn Tadesse Mengistu ;Mohammed Rafique Moosa ;Rachael L. Morton ;Abdou Niang ;Gregorio T. Obrador ;Ikechi G. Okpechi ;Shahrzad Ossareh ;Kamal D. Shah ;Laura Sola ;Charles Swanepoel ;Irma Tchokhonelidze ;Marcello Tonelli ;Michele Trask ;Rumeyza Turan Kazancioglu ;Ahmed Twahir ;Robert Walker ;Anthony J.O. Were ;Chih-Wei Yang ;Karen Yeates ;Elena ZakharovaCarlos ZunigaThere is a huge gap between the number of patients worldwide requiring versus those actually receiving safe, sustainable, and equitable care for kidney failure. To address this, the International Society of Nephrology coordinated the development of a Strategic Plan for Integrated Care of Patients with Kidney Failure. Implementation of the plan will require engagement of the whole kidney community over the next 5–10 years.