The “No Dialysis” Option
Copyright policy )The “No Dialysis” Option
Increasing numbers of patients are starting dialysis who have limited prognoses for 6-month survival. The presence of multiple comorbidities, aging, and frailty contributes to this phenomenon. The rate of dialysis withdrawal has been accelerating over the past decade, and this calls into question the condition of patients who are initiating dialysis. One option is to consider and discuss the "no dialysis" option with patients and family. Patients need to be identified who may benefit from this option, and their medical management needs to be reviewed.
- Tufts University United States
- Baystate Medical Center United States
- King's College London United Kingdom
- Kings College London, University of London United Kingdom
CHRONIC KIDNEY-DISEASE, Male, Decision Making, LAST YEAR, 610, HEMODIALYSIS-PATIENTS, DECISION-MAKING, FACTORS AFFECTING SURVIVAL, Treatment Refusal, Advance Care Planning, Stage 5 CKD, Renal Dialysis, 616, QUALITATIVE INTERVIEW, Humans, Hospice, Renal Insufficiency, Chronic, ELDERLY-PATIENTS, Patient Selection, STAGE RENAL-DISEASE, Prognosis, SYMPTOM ASSESSMENT SYSTEM, Palliative care, Quality of Life, Female, Dialysis, CONSERVATIVE MANAGEMENT
CHRONIC KIDNEY-DISEASE, Male, Decision Making, LAST YEAR, 610, HEMODIALYSIS-PATIENTS, DECISION-MAKING, FACTORS AFFECTING SURVIVAL, Treatment Refusal, Advance Care Planning, Stage 5 CKD, Renal Dialysis, 616, QUALITATIVE INTERVIEW, Humans, Hospice, Renal Insufficiency, Chronic, ELDERLY-PATIENTS, Patient Selection, STAGE RENAL-DISEASE, Prognosis, SYMPTOM ASSESSMENT SYSTEM, Palliative care, Quality of Life, Female, Dialysis, CONSERVATIVE MANAGEMENT
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