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Table 2 Potential advantages and disadvantages of choosing dialysis versus conservative management

From: Treatment decisions for older adults with advanced chronic kidney disease

Potential advantages of dialysis Potential disadvantages of dialysis
• Possibly longer survival [67, 69,70,71]
• May improve appetite
• May be life saving in some AKI situations
• Social contact/interactions with dialysis staff and patients
• Multiple painful access procedures [74,75,76]
• Loss of residual renal function [7, 60]
• Dialysis related fatigue hypotension, cardiac ischemia, and functional decline [7, 18, 60, 77]
• Increased risk of sudden death and stroke [7, 72]
• Time lost to dialysis and hospitalizations [18]
• High mortality rate, first 3 months [7, 44, 45]
• More likely to die in hospital versus conservative management [2, 18]
• High discontinuation rates [73]