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Comment & Response
July 12, 2021

Error in Number of Eligible Patients in Survey of Self-reported Prognostic Expectations of People Undergoing Dialysis

Author Affiliations
  • 1VA Puget Sound Health Care System, Seattle, Washington
JAMA Intern Med. 2021;181(9):1264-1265. doi:10.1001/jamainternmed.2021.3259

To the Editor On behalf of my coauthors, I write to report and explain errors that occurred in our Original Investigation, “Assessment of Self-reported Prognostic Expectations of People Undergoing Dialysis: United States Renal Data System Study of Treatment Preferences (USTATE),” published online July 8, 2019, and in the October 2019 issue of JAMA Internal Medicine.1 This cross-sectional survey study of patients receiving maintenance dialysis at nonprofit facilities in 2 US metropolitan areas was conducted to understand the prognostic expectations of patients undergoing dialysis and how these expectations relate to care planning, goals, and preferences. Results of the study found that most respondents were either uncertain about prognosis or had a prognostic expectation of more than 10 years. And as we reported, “these groups were less likely than those with a prognostic expectation of fewer than 5 years to report having documented their treatment preferences and to value comfort over life extension, and more likely to want cardiopulmonary resuscitation and mechanical ventilation.”1(p1326) We concluded that “uncertain and overly optimistic prognostic expectations may limit the benefit of advance care planning and contribute to high-intensity end-of-life care in patients undergoing dialysis.”1(p1325)

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