Predicting Early Death Among Elderly Dialysis Patients: Development and Validation of a Risk Score to Assist Shared Decision Making for Dialysis Initiation.

ABSTRACT:

Background

A shared decision-making tool could help elderly patients with advanced chronic kidney disease decide about initiating dialysis therapy. Because mortality may be high in the first few months after initiating dialysis therapy, incorporating early mortality predictors in such a tool would be important for an informed decision. Our objective is to derive and validate a predictive risk score for early mortality after initiating dialysis therapy.

Study design

Retrospective observational cohort, with development and validation cohorts.

Setting & participants

US Renal Data System and claims data from the Centers for Medicare & Medicaid Services for 69,441 (aged ≥67 years) patients with end-stage renal disease with a previous 2-year Medicare history who initiated d

SUBMITTER: Thamer M 

PROVIDER: S-EPMC4658211 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature