The Lien Foundation is funding a S$9 million [1] program to provide early palliative care for patients with advanced chronic kidney disease in Singapore.
This initiative represents a shift in how the medical community manages end-stage renal failure. By integrating palliative care early, the program seeks to move away from a "dialysis by default" mindset, offering patients alternatives that prioritize quality of life over aggressive medical intervention.
The philanthropic organization has committed the funding for a four-year period [2]. The program aims to reach more than 5,260 patients [1] who are struggling with the complexities of advanced kidney failure.
Chronic kidney disease is a significant public health challenge in the region, affecting 14% of Singaporeans [1]. The current medical landscape often emphasizes dialysis as the primary response to kidney failure, regardless of a patient's overall health or personal wishes.
This new pilot focuses on holistic care. The program is designed to address medical, functional, emotional, and psychological needs [2], rather than focusing solely on the mechanical filtration of blood.
By introducing palliative support earlier in the disease progression, healthcare providers can help patients make informed decisions about their treatment paths. This approach ensures that those who may not benefit from dialysis—or who wish to avoid it—receive comprehensive support to manage their symptoms and maintain dignity.
“The program seeks to move away from a "dialysis by default" mindset.”
This program signals a transition toward patient-centered care in Singapore's healthcare system. By challenging the assumption that dialysis is the only viable option for advanced kidney disease, the initiative acknowledges that for some patients, palliative care provides a more humane and effective path than lifelong machine dependency.
