Unplanned Start of Hemodialysis and Transition to Community

  • Preethi YerramEmail author


Advances in medicine have helped fight disease allowing people to live longer, albeit with a myriad of chronic medical conditions. There is no universally accepted definition of “elderly, old, or older” person, but the generally accepted age range for this cohort is over 65 years. Those over the age of 80 years are considered “very-elderly.”


Suboptimal dialysis initiation Late nephrology referral Multidisciplinary CKD education Advance care planning Shared decision-making Non-dialytic conservative management 


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Division of Nephrology and Hypertension, Department of MedicineUniversity of Missouri-Columbia School of MedicineColumbiaUSA

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