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June 15, 2026Kidney MedicineOpen Access

Survival of Older Adults Choosing Dialysis or Conservative Kidney Management, Stratified by Suitability for Dialysis

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Authors

MJMicha JongejanMBMarjolijn van BurenWVWouter R. Verberne

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Overview

Cohort study reports survival differences in dialysis versus conservative kidney management for older adults, suggesting individualized decisions matter.

Key Points

  • This study aims to examine survival outcomes between older adults choosing dialysis and those selecting conservative kidney management, considering dialysis suitability.
  • Single-centre cohort study involving patients aged ≥65 years with treatment decisions made between 2017 and 2024.
  • Participants were classified by nephrologist as suitable or less suitable for dialysis if they chose conservative kidney management.
  • Survival analyses used Kaplan-Meier estimates and Cox proportional hazard models.
  • Median survival was 53 months for dialysis, 32 months for CKM suitable for dialysis, and 18 months for CKM less suitable for dialysis.
  • Unadjusted hazard ratios indicated a significantly higher risk of mortality for CKM suitable (HR 2.11) and less suitable (HR 3.23) compared to dialysis.
  • Among patients aged ≥80 years, the hazard ratios were 1.89 and 2.35 for those suitable and less suitable for dialysis, respectively.

Cite This Study

Jongejan et al. (2026) studied this question.

synapsesocial.com/papers/6a2f96eca1cfeec490828087https://doi.org/10.1016/j.xkme.2026.101430
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