For Older Adults with Kidney Failure, Dialysis Linked to More Hospital Days

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In older adults with kidney failure, the decision to undergo maintenance dialysis is associated with increased hospital and ICU days and decreased use of inpatient palliative care, reports a study in JAMA Network Open.

Using Alberta health data, the researchers identified 968 older adults (65 or older) with kidney failure: 489 men and 479 women, median age 78.5 years. All had at least two consecutive outpatient estimated glomerular filtration rate (eGFR) measurements of less than 10 mL/min/1.73 m2 over at least 90 days—a level at which patients and physicians discuss and decide whether to pursue maintenance

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