Value-based evaluation of dialysis versus conservative care in older patients with advanced chronic kidney disease: a cohort study.

ABSTRACT:

Background

Conservative care is argued to be a reasonable treatment alternative for dialysis in older patients with advanced chronic kidney disease (CKD). However, comparisons are scarce and generally focus on survival only. Comparative data on more patient-relevant outcomes are needed to truly foster shared decision-making on an individual level, and cost comparison is needed to assess value of care.

Methods

We conducted a retrospective observational single-center cohort study in 366 patients aged ≥70 years with advanced CKD, who chose dialysis (n = 240) or conservative care (n = 126) after careful counselling by a multidisciplinary team in a non-academic teaching hospital in The Netherlands. Using a value-based health care approach (value = outcomes/cost): survival, health

SUBMITTER: Verberne WR 

PROVIDER: S-EPMC6097302 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature