Box 1.

Recommendations for how to improve conservative kidney management accessibility and quality worldwide (Davison et al. [2])

Increase the awareness of conservative kidney management as a viable treatment modality among patients and families, health care providers, and policy makers and clarify its definition and standard of care.

Identify the barriers to conservative kidney management availability, accessibility, and quality so that strategies can be developed to increase capacity.

Develop policies to ensure that conservative kidney management is optimal and is not seen as solely palliative care for those who cannot receive KRT.

Expand the evidence to provide better information regarding the outcomes associated with conservative kidney management as well as characteristics of patients who are most suitable for this treatment option.

Disseminate guidelines that are accessible globally and adaptable to each local context.

Support shared decision making among health care providers, patients, and families.

Understand the current barriers that countries are experiencing with conservative kidney management delivery.

Provide government-funded services essential for conservative kidney management, such as health care provider training, symptom management, and psychologic support.