Advances in chronic kidney disease
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Adv Chronic Kidney Dis · Jul 2014
ReviewAn interdisciplinary approach to dialysis decision-making in the CKD patient with depression.
Depression and depressive symptoms are common in advanced kidney disease and are associated with poor outcomes. For those with CKD not on dialysis, depression may influence how patients cope and prepare for their disease and its management, including decisions about dialysis treatment. ⋯ We highlight the contribution of underlying somatic and psychosocial factors in the assessment and management of depression. We further define the role of the interdisciplinary care team, including palliative care and hospice medicine, to assist with symptom management and end-of-life care for CKD patients with depression.