{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T05:07:32Z","timestamp":1790485652864,"version":"4.1.0"},"reference-count":71,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:p>\n                    Dialysis care is often associated with poor outcomes including low quality of life (QOL). To improve patient-reported outcomes, incorporation of the patient\u2019s needs and perspective into the medical care they receive is essential. This article provides a framework to help clinicians integrate symptom assessment and other measures such as QOL and frailty scores into a clinical approach to the contemporary supportive care of patients with advanced CKD. This approach involves (\n                    <jats:italic toggle=\"yes\">1<\/jats:italic>\n                    ) defining our understanding of kidney supportive care, patient-centered dialysis, and palliative dialysis; (\n                    <jats:italic toggle=\"yes\">2<\/jats:italic>\n                    ) understanding and recognizing common symptoms associated with advanced CKD; (\n                    <jats:italic toggle=\"yes\">3<\/jats:italic>\n                    ) discussing the concepts of physical function, frailty, and QOL and their role in CKD; and (\n                    <jats:italic toggle=\"yes\">4<\/jats:italic>\n                    ) identifying the structural and process barriers that may arise when patient-centered dialysis is being introduced into clinical practice.\n                  <\/jats:p>","DOI":"10.2215\/cjn.01050116","type":"journal-article","created":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T22:19:25Z","timestamp":1470867565000},"page":"1882-1891","source":"Crossref","is-referenced-by-count":63,"title":["Supportive Care: Integration of Patient-Centered Kidney Care to Manage Symptoms and Geriatric Syndromes"],"prefix":"10.2215","volume":"11","author":[{"given":"Sara N.","family":"Davison","sequence":"first","affiliation":[{"name":"Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarbjit Vanita","family":"Jassal","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, University Health Network, University of Toronto, Toronto, Ontario, 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