Is Maximum Conservative Management an Equivalent Treatment Option to Dialysis for Elderly Patients with Significant Comorbid Disease?
This single-center, observational study of a UK cohort evaluated 202 elderly (>70 yr) patients with ESRD who had chosen either conservative management or renal replacement therapy. Survival, hospitalization rates and location of death were reported. Authors suggest that dialysis prolonged survival for elderly patients who have ESRD with significant comorbidity by approximately 2 years. However, patients who chosen conservative therapy survived a substantial length of time, achieving similar numbers of hospital-free days to patients who chose hemodialysis.
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