The American Society of Nephrology, the European Renal Association–European Dialysis and Transplant Association and the International Society of Nephrology Joint Working Group on Ethical Issues in Nephrology have identified ten broad areas of ethical concern as priority challenges that require collaborative action. Here, we describe these challenges — equity in access to kidney failure care, avoiding futile dialysis, reducing dialysis costs, shared decision-making in kidney failure care, living donor risk evaluation and decision-making, priority setting in kidney disease prevention and care, the ethical implications of genetic kidney diseases, responsible advocacy for kidney health and management of conflicts of interest — with the aim of highlighting the need for ethical analysis of specific issues, as well as for the development of tools and training to support clinicians who treat patients with kidney disease in practising ethically and contributing to ethical policy-making.

美国肾脏病学会，欧洲肾脏协会-欧洲透析和移植协会以及国际肾脏病学会肾脏病伦理问题联合工作组已经确定了十个伦理关注领域，它们是需要采取合作行动的优先挑战。在这里，我们描述了以下挑战：在获得肾衰竭治疗方面的公平性，避免徒劳的透析，降低透析成本，在肾衰竭治疗中共同制定决策，活体供体风险评估和决策，在肾脏疾病预防和治疗中确定优先重点，遗传性肾脏疾病的伦理意义，对肾脏健康的负责任倡导和利益冲突的管理，目的是强调需要对特定问题进行伦理分析，