Impacto de la Nefrología Integrada y los Cuidados Paliativos en la Carga de Síntomas, la Calidad de Vida y la Planificación Anticipada de Cuidados en Pacientes con Enfermedad Renal Crónica en Etapa V

This study aims to test the impact of combining palliative care with standard nephrology care, compared to standard nephrology care alone, on patient-reported outcomes. The focus is on patients with Chronic Kidney Disease Stage V who are not on dialysis and have a glomerular filtration rate (eGFR) of 15ml/min/1.73m2 or less. The study hypothesizes that this integration could improve symptom control, quality of life, and increase the documentation of advance care planning. It's a preliminary study designed to determine the feasibility of a palliative care study inclusive of kidney disease patients. Over a 12-week period, measurements will be taken at the time of enrollment and at the end of the study. The study will evaluate changes in symptom burden using a short measure called IPOS-Renal, which includes 11 questions about common symptoms and concerns for renal patients. It will also assess changes in quality of life using the KDQOL-36, a scale with five sections including two general health-related quality of life scales and three kidney-specific scales. Lastly, the study will compare the number of documented advanced care planning, such as health care proxy or Do Not Resituate forms, between the two groups.