Introduction Chronic kidney disease (CKD) requires patients and caregivers to invest in self-
care and self-management of their disease. We aimed to describe the work for adult patients …

Dialysis-dependent ESRD is a serious illness with high disease burden, morbidity, and
mortality. Mortality in the first year on dialysis for individuals over age 75 years old …

Background Advance care planning (ACP) can offer benefits to patients and their families,
especially when delivered in outpatient settings, but uptake remains low. Common barriers …

Background Older patients with advanced CKD are at high risk for serious complications
and death, yet few discuss advance care planning (ACP) with their kidney clinicians …

Dialysis initiation rates among older adults, aged 75 years or greater, are increasing at a
faster rate than for younger age groups. Older adults with advanced CKD (eGFR< 30 …

Purpose Between 2000 and 2012, the incident dialysis population in the United States
increased by nearly 60%, most sharply among adults 75 years and older. End-of-life (EOL) …

Context Patients with end-stage kidney disease have a high mortality rate and disease
burden. Despite this, many do not speak with health care professionals about end-of-life …

Advance care planning is a process that encourages people to identify their values, to reflect
upon the meanings and consequences of serious illness, to define goals and preferences …

Rationale & Objective Greater understanding of the challenges to shared decision making
about treatment of advanced chronic kidney disease (CKD) is needed to support …

Results Among 35 nephrologists from 18 practices, 20% were women, 66% had at least 10
years of nephrology experience, and 80% were from academic medical centers. Four …