What does this research mean for the field?

The decision by patients with kidney failure to pursue conservative kidney management is a multidimensional process heavily influenced by personal values, comorbidities, fear of suffering, witnessing others on dialysis, and collaborative discussions with families and clinicians. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This study explores the lived experiences of patients with kidney failure and their caregivers in the context of decision-making for conservative kidney management.

June 6, 2026Palliative Care and Social PracticeOpen Access

Lived experiences and decision making among patients and caregivers choosing conservative kidney management: A qualitative study

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Authors

SLSing Ping LohSengkang General Hospital ATApphia Jia Qi TanSingHealth WLWan Ling LauSengkang General Hospital

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Implication

Qualitative inquiry uncovers experiences influencing conservative kidney management decisions among patients and caregivers, suggesting communication needs.

Key Points

This study explores the lived experiences of patients with kidney failure and their caregivers in the context of decision-making for conservative kidney management.
Semi-structured interviews were conducted with patient-caregiver dyads.
Participants included nine patients aged 21 or older with Chronic Kidney Disease Stage G5 and their caregivers.
Data were analyzed through independent coding to identify themes related to lived experiences under kidney supportive care.
Four themes emerged: lived reality of kidney failure, navigating treatment decision-making, the role of family and healthcare providers, and facing future needs.
Decisions were shaped by personal values, comorbidities, clinician recommendations, and collaborative discussions involving patients, families, and clinicians.
Participants highlighted the need for improved patient-provider communication and community-based early palliative care access.

Cite This Study

Loh et al. (2026) studied this question.

synapsesocial.com/papers/6a23bb7971a5da9775e76f0f https://doi.org/10.1177/26323524261444755

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Implication

Qualitative inquiry uncovers experiences influencing conservative kidney management decisions among patients and caregivers, suggesting communication needs.

Lived experiences and decision making among patients and caregivers choosing conservative kidney management: A qualitative study

Discussion

Member takes

Implication

Key Points

Cite This Study

Lived experiences and decision making among patients and caregivers choosing conservative kidney management: A qualitative study

Discussion

Member takes

Implication

Key Points

Cite This Study

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