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How do you decide when to recommend conservative kidney management over dialysis initiation in a frail older adult with stage 5 CKD?

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What factor(s) most sway your recommendation regarding conservative kidney management over dialysis initiation in a frail older adult with stage 5 CKD?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Nephrology · University of Texas Southwestern Medical School
Answered on

This is definitely not a one-size-fits-all answer. Functional status and cognitive status, rather than age, are the most important considerations. The frailty syndrome itself is associated with poor outcomes for patients on dialysis. There is a clear association between kidney disease and frailty, w...

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