UK Renal Association: Guideline 3.5 – CKD: Preparation for dialysis Nephrology Units should provide or facilitate the optimal management of patients with established renal failure who opt for non-dialytic treatment. Kidney Disease Outcomes Quality Initiative: Guideline 1. Initiation of Dialysis CPG for Hemodialysis Adequacy 1.3 Timing of therapy: ‘When patients reach stage 5 CKD (estimated GFR <15 mL/min/1.73 m2), nephrologists should evaluate the benefits, risks, and disadvantages of beginning kidney replacement therapy.

Particular clinical considerations and certain characteristic complications Selleck Luminespib of kidney failure may prompt initiation of therapy before stage 5. (B) Canadian Society of Nephrology: No recommendation.

European Best Practice Guidelines: No recommendation. International Guidelines: No recommendation. 1 Centralized (preferably ANZDATA) collection of actual implementation and completion of ‘Approaching ESKD Checklist/Consent Form’. Gad Kainer has no relevant financial affiliations that would cause a conflict of interest according to the conflict of interest statement set down by CARI. Deirdre Fetherstonhaugh has no relevant financial affiliations that would cause a conflict of interest according to the conflict STI571 cell line of interest statement set down by CARI. Approaching ESKD: Checklist/Consent Form Interpreter needed □ Yes □ No Language Carbohydrate required  . . .  . . .  . . .  . . .  . . .  . . .  . . .  . . .  . . .  . . .  . . . Please tick the appropriate box shown in the

‘Action’ Column.   Action Date Comments Clinician’s signature Patient/and or representative signature 1. Discussion between nephrologist and patient (and/or family/legal guardian) re treatment options (including why not an option): • haemodialysis • peritoneal dialysis • transplantation • supportive care only □ Done □ Not done         2. Advice given by nephrologist and documented regarding suggested treatment. □ Done □ Not done         3. Consultation with multidisciplinary team which may include: • pre-dialysis nurse • transplant coordinator • vascular access team • anaemia coordinator • nursing unit manager/s • dietician • social worker • pastoral care • other □ Done □ Not done         4. Invitation to attend education or information session about treatment options and other aspects of ESKD (including advance care planning). Opportunity to meet others in similar circumstances. □ Done □ Not done         5. Attendance at education/information seminar about treatment options and other aspects of ESKD (including advance care planning). □ Done □ Not done         6.