Bioethics: principles and recommendations on the application of dialysis - palliative care
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Keywords

End-stage renal disease
ethical issues
principles and recommendations
withdrawal from dialysis
palliative care

How to Cite

1.
Marín Ballestas GA. Bioethics: principles and recommendations on the application of dialysis - palliative care. Rev. Colomb. Nefrol. [Internet]. 2016 Jan. 9 [cited 2024 Mar. 18];2(2):137-46. Available from: https://revistanefrologia.org/index.php/rcn/article/view/212

Abstract

The prevalence of chronic kidney disease in Colombia increased notoriously in the past years, reaching a number of 510 patients per million population. Both the initiation of and withdrawal from dialysis are a frequent topic of discussion that creates conflict in the search for a balance between quality and quantity of life. We must, therefore, evaluate the criteria, principles and recommendations whereby we make prudent decisions to withdraw patients from dialysis, when we consider that it is a futile treatment. After the withdrawal from dialysis, we must then introduce, as a therapeutic complement, palliative care to relieve pain and symptoms.
https://doi.org/10.22265/acnef.2.2.212
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References

1. Bethesda, MD: US Renal Data System. USRDS 2005 Annual Data Report: Atlas of End- Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2005.

2. Amy S. Hackett and Suzanne G. Watnick Division of Nephrology and Hypertension, Oregon Health & Science University, Portland VA Medical Center, Portland, Oregon. Withdrawal from Dialysis in End-Stage Renal Disease: Medical, Social, and Psychological Issues, Seminars in Dialysis. (January, February) 2007;20(1):86-90.

3. Michael J. Germain, MD Lewis Cohen, MD Bay State Medical Center/Tufts University West Springfield, Massachusetts , Supportive Care for Patients With Renal Disease: Time for Action, American Journal of Kidney Diseases, (October), 2001;38(4):884-886.

4. Sgreccia E. Manual de Bioética, Orígenes, difusión y definición de la Bioética, Editorial Diana México, Capítulo primero. pág. 15-42.

5. Maiorca R. University of Brescia and Division of Nephrology, Spedali Civili of Brescia, Brescia, Italy, Ethical problems in dialysis: prospects for the year 2000, Nephrol Dial Transplant 1998: 13 [Suppl 1]: 1–9.

6. Gómez-Pérez R. Problemas morales de la existencia humana, Capítulo 3, Realidades ética fundamentales, pág. 27-34.

7. Tushar J. Vachharajani, Naveen K. Atray Department of Internal Medicine and Nephrology, Overton Brooks Veterans Affairs Medical Center and Louisiana State University Health Sciences Center, Shreveport, Louisiana, U.S.A.; Wake Forest University School of Medicine, Winston-Salem, North Carolina, U.S.A. Aging veterans and the end-stage renal disease management dilemma in the millennium. Hemodialysis International 2007; 11:456–460.

8. Schaefer K, Röhrich. The dilemma of renal replacement therapy in patients over 80 years of age. Nephrol Dial Transplant 1999; 14: 35-6.

9. Mallick N, El Marasi A. Dialysis in the elderly, to treat or not to treat? Nephrol Dial Transplant 1999; 14: 37-9.

10. Dominique J, Dany A, Corinne A, Anh-Thu N, Malik T, Grunfeld PJ, et al. Nephrology Unit, Necker Hospital and Universite´ Rene´ Descartes-Paris V, Paris, France; Inserm , Necker Hospital, Paris, France; and Biostatistics, Robert Debre´ Hospital, Paris, France. Octogenarians Reaching End- Stage Renal Disease: Cohort Study of Decision – Making and Clinical Outcomes, J Am Soc Nephrol 14: 1012–1021.

11. Moss AH. MD Center for Health Ethics and Law, Section of Nephrology, West Virginia University, Morgantown, WV, Too Many Patients Who Are Too Sick to Benefit Start Chronic Dialysis Nephrologists Need to Learn to “Just Say No”. American Journal of Kidney Diseases.
2003 (April);41(4):723-732.

12. Jonh H. Galla Renal Physicians Association/American Society of Nephrology Working Group, Washington, DC. Clinical Practice Guideline on Shared Decision-Making in the Appropriate Initiation of and Withdrawal from Dialysis J Am Soc Nephrol 11: 1340–1342, 2000.

13. Daniel Callaban. Medical futility, medical necessity. The problem- ithout-a-name. Hastings Cent Rep 1991;21(4):30-5.

14. Truog RD, Brett AS, Frader J. The problem with futility. N Engl J Med 1992;326(23): 1560-64.

15. Lo B Steinbrook RL. Deciding whether to resuscitate. Arch Intern Med 1983;143:1561

16. Congregación para la Doctrina de la Fe. “Declaratio de euthanasia” op.cit., pp 549-550

17. Cohen LM, Germain M, Poppel DM, Woods A, LICSW, Kjellstrand, CM Dialysis Discontinuation and Palliative Care, American Journal of Kidney Diseases,Vol 36, No 1 (July), 2000: pp 140-144

18. Jablonski A. College of Nursing, Seattle University, Seattle, Washington Palliative Care: Misconceptions That Limit Access for Patients with Chronic Renal Disease, Seminars in Dialysis. 2008;21(3):206-209.

19. Pellegrino ED. Emerging Ethical Issues in Palliative Care, JAMA 1998; 279(19):1521-1522

20. Pablo A. Necesidad de los principios, pero cuales principios”, Persona y Bioética. 2003;7(19):70-83.
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