Kristina M Gonzales, Susan Koch-Weser, Kristen Kennefick, Mary Lynch, Thalia Porteny, Hocine Tighiouart, John B Wong, Tamara Isakova, Dena E Rifkin, Elisa J Gordon, Ana Rossi, Daniel E Weiner, Keren Ladin
BACKGROUND: Older adults with kidney failure face preference-sensitive decisions regarding dialysis initiation. Despite recommendations, few older patients with kidney failure experience shared decision-making. Clinician uncertainty about the degree to which older patients prefer to engage in decision-making remains a key barrier. METHODS: Mixed-methods explanatory, longitudinal, sequential design at 4 diverse U.S. centers with patients (English-fluent, aged ≥70 years, CKD stages 4-5, nondialysis) from 2018 to 2020...
March 22, 2024: Journal of the American Society of Nephrology: JASN