ESRD and Hospice Care in the United States: Are Dialysis Patients Welcome?

According to the National Hospice and Palliative Care Organization, hospice care is a "model for quality, compassionate care for people facing life-limiting illness" and is focused on caring, not curing, with a philosophy "to support the physical, psychosocial, and spiritual needs of patients and their loved ones so that dignity and quality of life may persevere through death and the period of familial bereavement."1 Kidney failure is unquestionably a life-limiting illness, with 5-year mortality for those receiving dialysis about twice that of adults with cancer, congestive heart failure, and stroke.

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