Meanings of dialysis initiation in English

Multivariable logistic regression was used to identify variables associated with unplanned dialysis initiation.

Patients entered consideration at the time of first access creation, contemporaneous with dialysis initiation.

Groups were matched by propensity score at baseline (6 months after dialysis initiation).

Nephrology fellows often face difficult conversations about dialysis initiation or withdrawal but are frequently unprepared for these discussions.

Among patients who received MDC, mineral metabolic values at dialysis initiation did not differ by duration of predialysis care.

Unplanned dialysis initiation is common among advanced CKD patients, even if they are followed in a multidisciplinary chronic kidney disease clinic.

Health status was defined as functional status at dialysis initiation and number of hospital days within 2 years prior to dialysis initiation.

Conclusions: Frailty is extremely common among patients starting dialysis in the United States and is associated with higher eGFR at dialysis initiation.

Conversely, the average delay in dialysis initiation for late starters, the extra time free of dialysis, was at least 4.1 months.

Only 36% (8 of 22) and 38% (8 of 21) of respondents had received structured training in discussions for dialysis initiation or withdrawal.