{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T16:33:15Z","timestamp":1793118795481,"version":"4.5.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["JASN"],"published-print":{"date-parts":[[2026,6]]},"abstract":"\n Key Points<\/jats:title>\n \n \n \n Conservative management is part of the standard of care for kidney failure management.<\/jats:p>\n <\/jats:list-item>\n \n Conservative management tailors kidney care to align with individual goals and values.<\/jats:p>\n <\/jats:list-item>\n \n Conservative management involves a multidisciplinary team to provide customized CKD care, symptom management, and navigation across care transitions.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n \n Conservative management is a holistic, whole-person model of care for people with kidney failure. A proactive, ethical treatment pathway, conservative management can help align personal goals and plan of care for people who prioritize quality of life and symptom management over potential life-prolonging therapies. The Kidney Health Guidance (KHG) on Conservative Management in People with Kidney Failure provides evidence-based clinical guidance supporting best practices in three components of the conservative management care pathway: customized CKD care to align with a person's values and goals, symptom management, and navigation of care transitions. The guidance also emphasizes the importance of shared decision-making in providing goal-concordant kidney care, engaging care partners and collaborating across disciplines. In this Executive Summary, a practical companion to the KHG, we highlight the key points of the KHG to facilitate implementation of conservative management into clinical practice.<\/jats:p>\n <\/jats:sec>\n \n Podcast<\/jats:title>\n This article contains a podcast at https:\/\/dts.podtrac.com\/redirect.mp3\/\/www.asn-online.org\/media\/podcast\/JASN\/2026_03_18_KTS_March2026.mp3<\/jats:p>\n <\/jats:sec>","DOI":"10.1681\/asn.0000001069","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T16:00:28Z","timestamp":1773849628000},"page":"1287-1290","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Executive Summary of ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure"],"prefix":"10.1681","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2107-2910","authenticated-orcid":false,"given":"Jessica W.","family":"Weiss","sequence":"first","affiliation":[{"name":"Division of Nephrology and Hypertension, School of Medicine, Oregon Health and Science University, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3057-4828","authenticated-orcid":false,"given":"Rasheeda","family":"Hall","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina; and Renal Service, Durham VA Healthcare System, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5987-2255","authenticated-orcid":false,"given":"Fahad","family":"Saeed","sequence":"additional","affiliation":[{"name":"Divisions of Nephrology and Palliative Care, Departments of Medicine and Public Health, University of Rochester Medical Center, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Beth","family":"Callahan","sequence":"additional","affiliation":[{"name":"Dallas Nephrology Associates, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4977-902X","authenticated-orcid":false,"given":"Hesham","family":"Shaban","sequence":"additional","affiliation":[{"name":"Divisions of Nephrology and Palliative Care, Henry Ford Health, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the ASN Kidney Health Workgroup on Conservative Kidney Management","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"issue":"12","key":"B1-20261027","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1001\/jamainternmed.2025.5554","article-title":"Supporting shared decision-making in life-altering kidney therapy decisions for older adults: a review","volume":"185","author":"Saeed","year":"2025","journal-title":"JAMA Intern Med."},{"issue":"10","key":"B2-20261027","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.2215\/CJN.03760416","article-title":"Decisions about renal replacement therapy in patients with advanced kidney disease in the US Department of Veterans Affairs, 2000\u20132011","volume":"11","author":"Wong","year":"2016","journal-title":"Clin J Am Soc Nephrol."},{"issue":"6","key":"B3-20261027","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1681\/ASN.0000001068","article-title":"ASN Kidney Health Workgroup on Conservative Kidney Management. 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