In a cross-sectional study of adult palliative care patients, 11.1% had kidney failure, of whom 25% required renal replacement therapy, with breast cancer being the most frequent malignancy (72%).
Cross-Sectional (n=350)
Cannabidiol pharmacokinetics in patients with kidney failure are comparable to those without renal impairment, supporting further investigation of its use for symptom management in this population.
have kidney cancer or other types of tumours, has grown to the point that they already account for a significant number, both in the outpatient consultations of nephrology specialists, and in interconsultations, in hospitalization.The growing number of older adults and the increasing prevalence of chronic diseases mean that more patients could benefit from palliative care now and in the future.Palliative care refers to a form of therapeutic action that mitigates the discomfort of a disease, but that does not achieve a cure.Methods: Adult patients who attended at the palliative care unit in the period from January 2024 to March 2025, and who presented some degree of renal failure, with a total of 2163 patients.Patients younger than 18 years, patients in the emergency room, surgical, or those admitted for outpatient procedures were excluded from the study cohort.A prospective, cross-sectional periodic prevalence study of adult patients was conducted.With a simple random sampling, using the classical formula for finite populations.The estimated sample size was 350 patients.Results: The most frequent sex was female in 59.71% and the average age was 61 years.The Main Cancer Diagnosis was: Breast Cancer 72%, Prostate Cancer 44%, Colorectal Cancer 40%, Cervical Cancer 28%, Hepatobiliary 27%, Hematological Tumors 26%, Pulmonary 25%, Ovarian 12%, Head and Neck 11% , Digestive Tract 10%.11.1% of the patients had kidney failure and a significant percentage (25%) of these patients required renal replacement therapy during palliative treatment.CKD was the most frequently kidney failure with 51% vs 49% Aki Patients.Conclusion: Currently, the Palliative Care approach is initiated early, based on the needs of the patients rather than the prognosis, and has been extended to non-oncological diseases, whose advanced and terminal stages require this type of assistance.The shared care between general resources (Primary Care, Oncology, Internal Medicine, Nephrology...) and advanced Palliative Care resources allows care to be adapted to the level of complexity of the needs detected.This study revealed a high prevalence of patients in need of palliative care and with both acute and chronic renal failure, where the most frequent sex was female in 59.71% and the average age was 61 years, which is consistent with the data obtained in articles that document that the age at the time of cancer diagnosis is generally 66 years.As for the types of cancer that most went to palliative care and presented some degree of renal involvement, we have: Breast Cancer 72%, Prostate Cancer 44%, Colorectal Cancer 40%, Cervical Cancer 28%, Hepatobiliary 27%, Hematological Tumors 26%, Pulmonary 25%, Ovarian 12%, Head and Neck 11% , Digestive Tract 10%.11.1% of the patients had kidney failure and a significant percentage (25%) of these patients required renal replacement therapy during palliative treatment.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.
Smyth et al. (Wed,) conducted a cross-sectional in Cancer and renal failure requiring palliative care (n=350). In a cross-sectional study of adult palliative care patients, 11.1% had kidney failure, of whom 25% required renal replacement therapy, with breast cancer being the most frequent malignancy (72%).