scholarly journals Japanese Society for Dialysis Therapy Clinical Guideline for “Hemodialysis Initiation for Maintenance Hemodialysis”

2015 ◽  
Vol 19 ◽  
pp. 93-107 ◽  
Author(s):  
Yuzo Watanabe ◽  
Kunihiro Yamagata ◽  
Shinichi Nishi ◽  
Hideki Hirakata ◽  
Norio Hanafusa ◽  
...  
2015 ◽  
Vol 19 ◽  
pp. 67-92 ◽  
Author(s):  
Yuzo Watanabe ◽  
Hideki Kawanishi ◽  
Kazuyuki Suzuki ◽  
Shigeru Nakai ◽  
Kenji Tsuchida ◽  
...  

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kazuyoshi Okada ◽  
Ken Tsuchiya ◽  
Ken Sakai ◽  
Takahiro Kuragano ◽  
Akiko Uchida ◽  
...  

Abstract Background In Japan, forgoing life-sustaining treatment to respect the will of patients at the terminal stage is not stipulated by law. According to the Guidelines for the Decision-Making Process in Terminal-Stage Healthcare published by the Ministry of Health, Labor and Welfare in 2007, the Japanese Society for Dialysis Therapy (JSDT) developed a proposal that was limited to patients at the terminal stage and did not explicitly cover patients with dementia. This proposal for the shared decision-making process regarding the initiation and continuation of maintenance hemodialysis was published in 2014. Methods and results In response to changes in social conditions, the JSDT revised the proposal in 2020 to provide guidance for the process by which the healthcare team can provide the best healthcare management and care with respect to the patient's will through advance care planning and shared decision making. For all patients with end-stage kidney disease, including those at the nonterminal stage and those with dementia, the decision-making process includes conservative kidney management. Conclusions The proposal is based on consensus rather than evidence-based clinical practice guidelines. The healthcare team is therefore not guaranteed to be legally exempt if the patient dies after the policies in the proposal are implemented and must respond appropriately at the discretion of each institution.


2012 ◽  
Vol 45 (7) ◽  
pp. 599-613 ◽  
Author(s):  
Shigeru Nakai ◽  
Kenji Wakai ◽  
Kunihiro Yamagata ◽  
Kunitoshi Iseki ◽  
Yoshiharu Tsubakihara

2014 ◽  
Vol 39 (5) ◽  
pp. 449-458 ◽  
Author(s):  
Junichi Hoshino ◽  
Kunihiro Yamagata ◽  
Shinichi Nishi ◽  
Shigeru Nakai ◽  
Ikuto Masakane ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document