A published study found older patients with advanced chronic kidney disease or ESKD, as well as their family members, lacked knowledge regarding alternatives to dialysis. According to the study authors, this lack of knowledge may limit the patient’s ability to make informed decisions about personal care.
“Although increasing numbers of adults 65 years and older are initiating kidney replacement therapy, there is a growing body of literature suggesting that a subset of patients, particularly those older than 75 years who have serious illnesses such as dementia or ischemic heart disease in addition to advanced chronic kidney disease, may not live longer with dialysis and may have worse quality of life and functional status after initiating dialysis,” Jennifer Karlin, MD, PhD, of the University of California, San Francisco, and colleagues wrote.
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