Upstream Discussion Provided in the Ambulatory Setting to Assist Patients with Chronic Kidney Disease Considering Dialysis

摘要

Objectives:Extensive discussion with renal patients about treatment intensity is not systematically integrated into their care and often occurs during an acute hospitalization. We conducted a “test-of-change” pilot study to assess the utility of providing an upstream discussion in the ambulatory setting as an additional nephrology consult to assist patients with chronic kidney disease considering treatment choices.