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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="palliative-medicine" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">459</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2025.51118</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Palliative Medicine</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>A Systematic Review of the Integration of Palliative Care in Dialysis Treatment&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Assiri</surname>
            <given-names>Abdulhakeem</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Korairi</surname>
            <given-names>Abdulrahman Abdullah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ahmed</surname>
            <given-names>Ibrahim A.</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alshehri</surname>
            <given-names>Abdulrhman</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Altowairqi</surname>
            <given-names>Abdulrahman E.</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>26</day>
        <month>11</month>
        <year>2025</year>
      </pub-date>
      <volume>5</volume>
      <issue>11</issue>
      <fpage>680</fpage>
      <lpage>697</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>End-stage renal disease (ESRD) patients on dialysis often experience a high symptom burden, reduced quality of life, and limited engagement in advance care planning. Palliative care interventions, which focus on symptom relief and supportive care, have the potential to address these needs. However, the impact of such interventions on health outcomes, symptom management, and advanced care planning in this population remains unclear. We conducted a systematic review to evaluate the effectiveness of palliative care interventions in ESRD patients on dialysis. We searched PubMed, Embase, and Cochrane Library for studies published between 2000 and 2024. Inclusion criteria focused on studies that reported on clinical outcomes, quality of life, symptom burden, and advanced care planning. Data extraction and quality assessment followed a structured protocol, with clinical endpoints including symptom relief, quality of life improvements, and advance directive completion. A total of 11 studies were included in the review, covering various palliative care approaches such as telehealth consultations, multidisciplinary care, and symptom-specific management programs. The findings suggest that palliative care interventions can significantly improve quality of life and alleviate symptoms such as pain, fatigue, and psychological distress. Furthermore, advance care planning outcomes were enhanced, with increased documentation of patient preferences and improved patient-provider communication. However, heterogeneity in study designs and outcome measures limited the comparability of results. Palliative care interventions show promise in enhancing quality of life, symptom management, and advanced care planning for ESRD patients undergoing dialysis. Despite these positive outcomes, further research with standardized intervention protocols and long-term follow-up is essential to determine the consistent benefits of palliative care in this population.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>end-stage renal disease</kwd>
        <kwd> ESRD</kwd>
        <kwd> palliative care</kwd>
        <kwd> dialysis</kwd>
        <kwd> symptom management</kwd>
        <kwd> quality of life</kwd>
        <kwd> advance care planning</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>