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As patients undergoing kidney care approach kidney failure, they face complex decisions regarding dialysis initiation, transplantation, or foregoing disease-directed treatment in favor of palliative and supportive care. In this context, shared decision-making (SDM), advance care planning (ACP),1 and palliative care (PC)2 have emerged as essential components of high-quality, patient-centered kidney care.
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Kashyap et al. (2026) studied this question.
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