Value-based evaluation of dialysis versus conservative care in older patients with advanced chronic kidney disease: a cohort study.

Wouter R VerberneJanneke DijkersJohannes C KelderAnthonius B M GeersWilbert T JellemaHieronymus H VincentJohannes J M van DeldenWillem Jan W Bos

Published in: BMC nephrology (2018)

In this study, conservative care is shown to be a viable treatment option in older patients with advanced CKD, particularly in the oldest old and those with severe comorbidity. By achieving similar outcomes at lower treatment burden and treatment costs, value was generated for older patients choosing conservative care and society.

Keyphrases

chronic kidney disease
healthcare
palliative care
quality improvement
physical activity
type diabetes
pain management
early onset
metabolic syndrome
risk factors
adipose tissue
skeletal muscle
chronic pain
weight loss
affordable care act