Communication in Chronic Kidney Disease

Abstract

In the 21st century, chronic kidney disease has become a leading cause of mortality and suffering. In Portugal, the prev‐ alence of chronic kidney disease was estimated at 20.9%, higher than the world and European average. End‐stage renal disease requiring dialysis is a significant condition with a high disease burden, morbidity, and mortality rate. Effective communication plays an important role in facilitating adaptation to the reality of living with a serious illness. Appro‐ priate decision‐making, quality of life and adaptation to the realities of the disease are significantly aided by effective communication. Good patient‐centered communication is associated with better adherence to treatment, pain control, satisfaction, emotional health, functional status, confidence, and physical outcomes. Nephrologists care for a clinically complex population that faces difficult decisions about treatment options and end‐of‐ ‐life care. In Nephrology, effective communication between patient and nephrologist is crucial. However, communication training within the nephrology fellowship is rare. We must routinely incorporate communication about treatment goals into our clinical care structures and processes.