The decision to initiate chronic dialysis should be part of an individualized, shared decision-making process between patients, their families, and their nephrology health care team. This process includes eliciting individual patient goals and preferences and providing information on prognosis and expected benefits and harms of dialysis within the context of these goals and preferences. Limited observational data suggest that survival may not differ substantially for older adults with a high burden of comorbidity who initiate chronic dialysis versus those managed conservatively.</p>
<p><strong>Conditions:</strong> Chronic Kidney Disease (CKD) Kidney Failure, Renal Failure</p>
<p><strong>Treatments:</strong> Chronic Dialysis, Hemodialysis, Peritoneal Dialysis</p>
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