What is it about?
Managing late stage CKD patient who choose not to receive dialysis
Featured Image
Why is it important?
There is a marked increase in the elderly frail patient reaching ESRD
Perspectives
Nephrologists must become more patient focused in their care. We must pay attention to what is important to this group of patients
Michael J Germain
Baystate Medical Center
In this national study, we found patients who had chosen conservative non-dialytic care when in CKD stage 4 or 5 (pre-dialysis), rarely changed their minds to start dialysis therapy as their disease progressed. This finding challenges a common belief that preferences for treatment of ESKD change markedly. We also found that of the patients who died over a 3 year follow-up period, those on dialysis were less likely to receive palliative care at end of life, and more likely to die in hospital, than those treated conservatively.
Professor Rachael L Morton
NHMRC Clinical Trials Centre, University of Sydney
Read the Original
This page is a summary of: Conservative Management and End-of-Life Care in an Australian Cohort with ESRD, Clinical Journal of the American Society of Nephrology, October 2016, American Society of Nephrology,
DOI: 10.2215/cjn.11861115.
You can read the full text:
Contributors
The following have contributed to this page
