The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.

<h4>Background</h4>When treating patients with kidney failure, unavoidable ethical issues often arise. Current clinical practice guidelines some of them, but lack comprehensive information about the full range of relevant ethical issues in kidney failure. A systematic literature review o...

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Main Authors: Hannes Kahrass, Daniel Strech, Marcel Mertz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0149357&type=printable
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author Hannes Kahrass
Daniel Strech
Marcel Mertz
author_facet Hannes Kahrass
Daniel Strech
Marcel Mertz
author_sort Hannes Kahrass
collection DOAJ
description <h4>Background</h4>When treating patients with kidney failure, unavoidable ethical issues often arise. Current clinical practice guidelines some of them, but lack comprehensive information about the full range of relevant ethical issues in kidney failure. A systematic literature review of such ethical issues supports medical professionalism in nephrology, and offers a solid evidential base for efforts that aim to improve ethical conduct in health care.<h4>Aim</h4>To identify the full spectrum of clinical ethical issues that can arise for patients with kidney failure in a systematic and transparent manner.<h4>Method</h4>A systematic review in Medline (publications in English or German between 2000 and 2014) and Google Books (with no restrictions) was conducted. Ethical issues were identified by qualitative text analysis and normative analysis.<h4>Results</h4>The literature review retrieved 106 references that together mentioned 27 ethical issues in clinical care of kidney failure. This set of ethical issues was structured into a matrix consisting of seven major categories and further first and second-order categories.<h4>Conclusions</h4>The systematically-derived matrix helps raise awareness and understanding of the complexity of ethical issues in kidney failure. It can be used to identify ethical issues that should be addressed in specific training programs for clinicians, clinical practice guidelines, or other types of policies dealing with kidney failure.
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spelling doaj-art-dba9764d08fe4af186a2ec65d9c5a85b2025-08-20T02:15:42ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01113e014935710.1371/journal.pone.0149357The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.Hannes KahrassDaniel StrechMarcel Mertz<h4>Background</h4>When treating patients with kidney failure, unavoidable ethical issues often arise. Current clinical practice guidelines some of them, but lack comprehensive information about the full range of relevant ethical issues in kidney failure. A systematic literature review of such ethical issues supports medical professionalism in nephrology, and offers a solid evidential base for efforts that aim to improve ethical conduct in health care.<h4>Aim</h4>To identify the full spectrum of clinical ethical issues that can arise for patients with kidney failure in a systematic and transparent manner.<h4>Method</h4>A systematic review in Medline (publications in English or German between 2000 and 2014) and Google Books (with no restrictions) was conducted. Ethical issues were identified by qualitative text analysis and normative analysis.<h4>Results</h4>The literature review retrieved 106 references that together mentioned 27 ethical issues in clinical care of kidney failure. This set of ethical issues was structured into a matrix consisting of seven major categories and further first and second-order categories.<h4>Conclusions</h4>The systematically-derived matrix helps raise awareness and understanding of the complexity of ethical issues in kidney failure. It can be used to identify ethical issues that should be addressed in specific training programs for clinicians, clinical practice guidelines, or other types of policies dealing with kidney failure.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0149357&type=printable
spellingShingle Hannes Kahrass
Daniel Strech
Marcel Mertz
The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.
PLoS ONE
title The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.
title_full The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.
title_fullStr The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.
title_full_unstemmed The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.
title_short The Full Spectrum of Clinical Ethical Issues in Kidney Failure. Findings of a Systematic Qualitative Review.
title_sort full spectrum of clinical ethical issues in kidney failure findings of a systematic qualitative review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0149357&type=printable
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