Why are nephrologists initiating dialysis treatments for patients with end-stage renal disease (ESRD) at an earlier stage of disease than in the past? Aggressive early treatment with maintenance dialysis drives up health care costs and does not usually provide a clinical benefit.1 Few data are available to answer the question of how clinician and patient preferences influence the decision to begin dialysis.
Potluri VS, Dember LM, Reese PP. Honoring Patient Preferences in Initiation of DialysisProblems, Proposals, and a Path Forward. JAMA Intern Med. 2016;176(2):236-237. doi:10.1001/jamainternmed.2015.7796