Delaying and Averting Dialysis Treatment: Patient Protection or Moral Hazard?

In talking with patients about the prospect of kidney failure, it can be useful to frame the problem as deciding what to do "if you outlive your kidneys." For patients and nephrologists alike, this is the dominant challenge of advanced chronic kidney disease (CKD): to anticipate the evolution of illness from declining kidney function, choose the best treatment for the individual patient, and implement it not too early, not too late, but just at the right time.

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