Rationale 95% CI 1.59; 2.80) and 3.23 (less suitable for dialysis vs. dialysis; 95% CI 2.47; 4.23). Among patients aged ≥80 years, hazard ratios were 1.89 (0.99; 1.74) for CKM suitable for dialysis vs dialysis and 2.35 (1.31; 4.64) for CKM less suitable for dialysis vs. dialysis. Thirteen percent of patients who initially chose dialysis switched to CKM, whereas 1% transitioned from CKM to dialysis. Limitations Subjectivity in dialysis suitability assessment. Conclusions In this cohort of older patients with kidney failure, survival outcomes in patients choosing CKM suitable for dialysis were longer than previously reported. These findings highlight the importance of distinguishing dialysis suitability when evaluating survival outcomes in CKM and dialysis. This supports more individualized shared decision-making in older adults with advanced kidney disease.
Jongejan et al. (Mon,) studied this question.