Towards guidelines for dialysis in children with end-stage renal disease

There are few data describing the current practices of treatment selection for children with end-stage renal disease (ESRD). In an effort to establish a consensus among Spanish pediatric nephrologists for inclusion and exclusion criteria for renal replacement therapy in children with ESRD, in 1995 w...

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Bibliographic Details
Published in:Pediatric nephrology (Berlin, West) West), 2000-11, Vol.15 (1-2), p.157-162
Main Authors: Riaño, I, Malaga, S, Callis, L, Loris, C, Martin-Govantes, J, Navarro, M, Vallo, A
Format: Article
Language:English
Subjects:
Bioethics
Child
Decision making
Ethics
Hemodialysis
Hospitals
Humans
Kidney diseases
Kidney Failure, Chronic - therapy
Nephrology
Patients
Pediatrics
Physicians
Practice Guidelines as Topic
Quality of Life
Renal replacement therapy
Societies, Medical
Spain
Surveys and Questionnaires
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Summary:There are few data describing the current practices of treatment selection for children with end-stage renal disease (ESRD). In an effort to establish a consensus among Spanish pediatric nephrologists for inclusion and exclusion criteria for renal replacement therapy in children with ESRD, in 1995 we surveyed members of the Spanish Pediatric Nephrology Association. Although only 43% of members responded, pediatric nephrologists and bioethicists studied the results and compiled a list of ten guidelines for treatment of children with ESRD. The proposed guidelines are meant to be a starting point for further discussion. An emphasis on flexibility, individual case assessment, and consideration of the best interests of the patient must remain central to any treatment plan. Decision making should ideally be shared by parents, professionals, the child, when appropriate, and ethics committees, as necessary.
ISSN:0931-041X
1432-198X
DOI:10.1007/s004679900169