Survival of Older Patients With Advanced CKD Managed Without Dialysis: A Narrative Review.

ABSTRACT: Shared decision making is important when deciding the appropriateness of dialysis for any individual, particularly for older patients with advanced chronic kidney disease who have high mortality. Emerging evidence suggests that patients with advanced age, high comorbidity burden, and poor functional status may not have any survival advantage on dialysis compared with those on a conservative kidney management pathway. The purpose of this narrative review is to summarize the existing studies on the survival of older patients with stage 4 or 5 chronic kidney disease managed with or without dialysis and to evaluate the factors that may influence mortality in an effort to assist clinicians with shared decision making. Median survival estimates of conservative kidney management patients are wide

SUBMITTER: Chou A 

PROVIDER: S-EPMC9046625 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature