Decision-making around commencing dialysis

Indu Rao, Nandini Vallath, Y. Anupama, Krishan Gupta, Krithika Rao

Research output: Contribution to journalReview articlepeer-review


The decision regarding dialysis initiation is complex. Awareness that renal replacement therapy should not be regarded as default therapy for every patient with advanced renal failure is necessary. Decision to initiate dialysis and modality should be individualized in a shared decision-making process involving the treating nephrologist and the patient. Patients should receive predialysis education early in the course of chronic kidney disease so as to help prepare them well in advance for this eventuality. Withholding dialysis may be a reasonable option in a certain subset of patients, especially elderly patient with multiple co-morbid illnesses. Comprehensive conservation care should be offered in all patients where the decision to not dialyze is taken.

Original languageEnglish
Pages (from-to)S6-S10
JournalIndian Journal of Palliative Care
Issue number5
Publication statusPublished - 2021

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Public Health, Environmental and Occupational Health


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