Conservative Management in People with Kidney Failure

Document Overview

Document Title

Conservative Management in People with Kidney Failure

Authoring Society

American Society of Nephrology

Document Publication Date

Mar 18, 2026

Page Last Reviewed/Updated

May 6, 2026

Document Type

Consensus Statement

Country of Publication

United States

Full Text Freely Available

Yes

Full Text Guideline

journals.lww.com/jasn/fulltext/9900/asn_kidney_health_guidance_on_conservative.963.aspx

Source Citation

Wong, Susan P Y et al. “ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure.” Journal of the American Society of Nephrology : JASN, 10.1681/ASN.0000001068. 18 Mar. 2026, doi:10.1681/ASN.0000001068

Weiss, Jessica W et al. “Executive Summary of ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure.” Journal of the American Society of Nephrology : JASN, 10.1681/ASN.0000001069. 18 Mar. 2026, doi:10.1681/ASN.0000001069

 

Supplemental Implementation Resources

• Graphical Abstract

Document Scope, Criteria, and Use Cases

Document Objectives

Conservative Management is customized CKD care, symptom management, and support to navigate care across the CKD trajectory through end of life. Conservative management is defined by shared decision-making and interdisciplinary teamwork in alliance with patients and care partners. Implementation of conservative management hinges on each practice's logistical considerations and resource availability.Conservative management is holistic and whole-person care for people with kidney failure. This care pathway is often a good choice for patients who prioritize independence, quality of life, and avoidance of burdens associated with life prolonging therapies such as dialysis. This Kidney Health Guidance document aims to provide evidence-based clinical guidance for best practices in conservative management care delivery. Conservative management comprises three components including customized CKD care, symptom management, and smooth navigation of care transitions. This Kidney Health Guidance describes the application of these three components across the illness trajectory, including the role of shared decision-making, care partner engagement, and interdisciplinary collaboration. Practical strategies are outlined for health care professionals to integrate conservative management care delivery into practice.

Scope

Management

Diseases/Conditions (MeSH)

D007676 - Kidney Failure, Chronic

D051437 - Renal Insufficiency

Keywords

Kidney failure, kidney failure , renal failure

Inclusion Criteria

Male, Female, Adult, Older Adult

Health Care Settings

Ambulatory, Outpatient

Intended Users

Nurse, Nurse Practitioner, Physician, Physician Assistant

Recommendation Development Processes & Methodology

Supplemental Methodology Resource

Data Supplement