Incorporating patient-reported symptom assessments into routine care for people with chronic kidney disease.

In this issue of Clinical Kidney Journal, Brown and colleagues show that symptomburden is high across all stages of chronic kidney disease (CKD). Still,management of symptoms in kidney patients leaves roomfor improvement, whichmay partly stem from symptoms being underreported. The use of patient-reported questionnaires may facilitate a more systematic approach to symptomassessment, but to date, themajority of these instruments have been used only in the context of research studies. In this editorial, we review how systematic patient-reported symptom assessments can be incorporated in CKD care. We show examples from an initiative in the UK where 14 renal units explored how to collect and use symptom burden assessments as part of their routine ways of working. We also discuss how tomove from paper-based questionnaires towards digital collection of patient-reported symptomdata. Lastly, we introduce wearable and smartphone sensors as novel methods for collecting information to support and enrich symptomassessments whileminimizing data collection burden [ABSTRACT FROM AUTHOR]