Conservative kidney management in a young patient with severe intellectual disability: clinical implications for kidney therapy decision-making - a case report
Hajime Hirano, Tomohisa Matsunaga, Takahiro Inoue, Yu Munakata, Tetsuro Machimura, Tatsuhiko Mori, Haruhito Azuma, Norio Hanafusa · 2026
Read Conservative kidney management in a young patient with severe intellectual disability: clinical implications for kidney therapy decision-making - a case report by Hajime Hirano, Tomohisa Matsunaga, Takahiro Inoue, Yu Munakata, Tetsuro Machimura, Tatsuhiko Mori, Haruhito Azuma, Norio Hanafusa (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13563956.txt.
Description
Hajime Hirano and colleagues present, in a 2026 case report, a young adult with advanced kidney disease and severe intellectual disability who could not take part in treatment decisions. Kidney disease came from birth defects of the kidney and urinary tract, and every form of kidney replacement therapy was considered as failure approached.
After repeated talks among clinicians and family, the team chose conservative kidney management, meaning care focused on comfort and symptoms without dialysis. Home medical visits and nursing supported the family, and the patient lived thirty-five more months before dying peacefully at home. The case gives clinicians an ethical worked example for decisions made on behalf of patients who cannot decide themselves.
Catalog record
| CREATOR | Hajime Hirano, Tomohisa Matsunaga, Takahiro Inoue, Yu Munakata, Tetsuro Machimura, Tatsuhiko Mori, Haruhito Azuma, Norio Hanafusa |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27721 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |