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Editorial
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Volume 361:1597-1598 October 15, 2009 Number 16
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Dialysis in Frail Elders — A Role for Palliative Care
Robert M. Arnold, M.D., and Mark L. Zeidel, M.D.

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 by Kurella Tamura, M.
-PubMed Citation
The methods and availability of dialysis and transplantation have improved, and patients who are beginning to undergo dialysis have become sicker and more debilitated than in the past.1 Increased numbers of elderly, ill patients with end-stage renal disease (ESRD) increase the costs of ESRD programs, despite an overall decrease in the cost of dialysis for each patient.1

Although dialysis can prolong life, the benefit to individual patients varies widely. Randomized trials are lacking to evaluate the benefits of dialysis in the elderly. A nonrandomized study suggests that dialysis, as compared with conservative therapy, increases longevity in elders, but not in . . . [Full Text of this Article]


Source Information

From the Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh (R.M.A.); and the Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston (M.L.Z.).


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