ISSN:
1432-198X
Keywords:
Key words End-stage renal disease
;
Dialysis
;
Ethics
;
Decision making
;
Guidelines
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract 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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004679900169
