{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T09:25:09Z","timestamp":1787217909187,"version":"build-2736575974"},"reference-count":57,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Integrating palliative care principles into clinical practice in nephrology has become an urgent need with the growing number of patients with advanced age and frailty reaching end-stage kidney disease (ESKD). While principles of palliative care are increasingly recognized and endorsed by major guidelines, practical implementation remains insufficient. This narrative review synthesizes current evidence on practical approaches to palliative care in frail and elderly patients with ESKD. The scope of this review includes prognostication, discussing goals of care, evaluating conservative kidney management as a treatment option, individualizing dialysis prescription and access planning, medication deprescribing and dialysis withdrawal. We argue that nephrologists can incorporate low-threshold tools into their practice even without specialist palliative care training. Integrating these principles can reduce unnecessary interventions, improve symptom management, and deliver care adapted to patients\u2019 goals.<\/jats:p>","DOI":"10.1093\/ndt\/gfag170","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:18:16Z","timestamp":1785755896000},"source":"Crossref","is-referenced-by-count":0,"title":["Integrating palliative care into routine nephrology practice"],"prefix":"10.1093","author":[{"given":"Judith","family":"B\u00f6hm","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine VI, Municipal Hospital Klinik Ottakring of Vienna , Vienna ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6273-7513","authenticated-orcid":false,"given":"Martin","family":"Windpessl","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine IV, Municipal Hospital Wels-Grieskirchen , Wels ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Huemer","sequence":"additional","affiliation":[{"name":"Palliative Care Unit, Division of Oncology, Department of Internal Medicine, Medical University of Graz , Graz ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva K","family":"Masel","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Department of Medicine I, Medical University of Vienna , Vienna ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"S\u00e4emann","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine VI, Municipal Hospital Klinik Ottakring of Vienna , Vienna ,","place":["Austria"]},{"name":"Sigmund Freud University, Medical Faculty , Vienna ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Kronbichler","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine IV, Nephrology and Hypertension, Medical University of Innsbruck , Innsbruck ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balazs","family":"Odler","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine IV, Nephrology and Hypertension, Medical University of Innsbruck , Innsbruck ,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"2026082004413318600_bib1","doi-asserted-by":"publisher","first-page":"S117","DOI":"10.1016\/j.kint.2023.10.018","article-title":"KDIGO 2024 Clinical Practice Guideline for the evaluation and management of chronic kidney disease","volume":"105","author":"Stevens","year":"2024","journal-title":"Kidney Int"},{"key":"2026082004413318600_bib2","doi-asserted-by":"publisher","first-page":"sfag036","DOI":"10.1093\/ckj\/sfag036","article-title":"The ERA Registry Annual Report 2023: epidemiology of kidney replacement therapy in Europe, with a focus on age comparisons","volume":"19","author":"Hoekstra","year":"2026","journal-title":"Clin. 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