Conservative Management in Chronic Kidney Disease: A Concept Analysis

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Abstract Introduction: Conservative management for patients with Chronic Kidney Disease (CKD) is recognized as a viable alternative for patients who are unsuitable for, unable to access, or choose not to undergo dialysis. However, this concept is not well-defined, which affects its application. This study aims to clarify the concept of conservative management in the context of CKD. Methods: A concept analysis was conducted using Walker and Avant’s framework. Literature search was conducted across various databass. After screening, nineteen articles met the inclusion criteria and were included in the analysis. Data were analysed to identify attributes, antecedents, consequences, and empirical referents of conservative management. Results: Antecedents were identified at the patient, provider, and health system levels. The consequences include improved quality of life for patients and caregivers, reduced hospital utilisation and healthcare costs, and enhanced patient control over illness, despite a comparatively limited survival benefit. Conclusion: Conservative management is a key alternative care pathway for individuals with advanced CKD. It could lead to improved quality of life, reduced treatment burden, and enhanced patient autonomy, although survival benefits appear to be limited

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