Publications by authors named "Alexis Chettiar"
Rationale & Objective: Elicitation and documentation of patient preferences is at the core of shared decision making and is particularly important among patients with high anticipated mortality. The extent to which older patients with incident kidney failure undertake such discussions with their providers is unknown and its characterization was the focus of this study.
Study Design: Retrospective cohort study.
Article Synopsis
- Palliative care for patients with End-Stage Kidney Disease (ESKD) may enhance quality of life and reduce healthcare costs, but its effectiveness has not been thoroughly studied.
- In a study of Medicare beneficiaries receiving inpatient palliative care, it was found that palliative care led to a 21% reduction in hospital stay length and 14% lower hospitalization costs for patients who died in the hospital.
- However, for those who did not die during their hospitalization, palliative care resulted in slightly longer hospital stays and higher costs, but it significantly increased the likelihood of hospice enrollment and decreased the chances of rehospitalization within 30 days after discharge.
Management of primary care issues common to CKD and ESRD patients: a brief primer for the nephrology provider.
Adv Chronic Kidney Dis
July 2014
This article provides a brief overview of the diagnosis and management of selected primary care issues that are common to CKD and ESRD patients. The elements of diagnosis and management unique to kidney patients and controversies and updates in management will be presented. The topics reviewed are neuropathy, pruritus, zoster, hyperuricemia, gout, and gastroparesis.
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