ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure

Authors

• Susan P. Wong, Department of Medicine, University of Washington, VA Puget Sound Health Care System, Seattle, Washington.
• Jane O. Schell, Renal-Electrolyte Division, Palliative and Supportive Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.
• Alexandra E. Bursic, Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
• Catherine R. Butler, University of Washington, VA Puget Sound Health Care System, Seattle, Washington.
• Mary Beth Callahan, Dallas Nephrology Associates, Dallas, Texas.
• Christine Corbett, Coalition for Supportive Care of Kidney Patients, School of Nursing, The George Washington University, Washington, DC.
• Jennifer DeGraauw, New Mexico VA Health Care System, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
• Shena Gazaway, School of Nursing, University of Alabama-Birmingham, Birmingham, Alabama.
• Samantha Gelfand, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Boston, Massachusetts.
• Rasheeda Hall, Division of Nephrology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina; Renal Service, Durham VA Healthcare System, Durham, North Carolina.
• Fahad Saeed, Divisions of Nephrology and Palliative Care, Departments of Medicine and Public Health, University of Rochester Medical Center, Rochester, New York.
• Jennifer S. Scherer, Division of Geriatrics and Palliative Care, NYU Grossman School of Medicine, New York, New York.
• Hesham Shaban, Divisions of Nephrology and Hypertension, Henry Ford Health, Detroit, Michigan.
• Eva J. Stein, Division of Nephrology and Hypertension, Palliative Care and Hospice Program, University of North Carolina, Chapel Hill, North Carolina.
• Jessica W. Weiss, Division of Nephrology and Hypertension, School of Medicine, Oregon Health and Science University, Portland, Oregon.

Document Type

Journal Article

Publication Date

4-1-2026

Journal

Journal of the American Society of Nephrology : JASN

DOI

10.1681/ASN.0000001068

Keywords

CKD nondialysis; ESKD; chronic kidney failure; chronic renal failure; conservative management; hospice; palliative care; patient-centered care

Abstract

Conservative management is customized CKD care, symptom management, and support to navigate care across the CKD trajectory through end of life. Conservative management is defined by shared decision-making and interdisciplinary teamwork in alliance with patients and care partners. Implementation of conservative management hinges on each practice's logistical considerations and resource availability.

APA Citation

Wong, Susan P.; Schell, Jane O.; Bursic, Alexandra E.; Butler, Catherine R.; Callahan, Mary Beth; Corbett, Christine; DeGraauw, Jennifer; Gazaway, Shena; Gelfand, Samantha; Hall, Rasheeda; Saeed, Fahad; Scherer, Jennifer S.; Shaban, Hesham; Stein, Eva J.; and Weiss, Jessica W., "ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure" (2026). GW Authored Works. Paper 9161.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/9161

Department

Nursing Faculty Publications