Patients with Chronic Kidney Disease who elect dialysis generally experience progressive functional decline over months to years, punctuated by episodes of life-threatening complications. Elderly or chronically ill patients with co-morbid diseases, at the initiation of dialysis, can be expected to have greater complications and a shorter survival. Poor prognostic factors such as older age, low serum albumin, poor functional status, and co-morbid illnesses such as diabetes and cardiovascular disease can be used to estimate prognosis. Anuric patients, who elect to not initiate or discontinue dialysis, typically survive for 7-14 days. The prognosis is longer for patients with residual renal function who continue to make urine. HERE ARE FEW REFERENCE ARTICLES TO HELP WITH THE DECISION MAKING

Clinical Practice Guideline on Shared Decision-Making in the Appropriate Initiation of and Withdrawal from Dialysis

Which patients choose to stop Dialysis

What happens if someone stops Dialysis

The role of Palliative Medicine in the Initiation and Withdrawal from Dialysis

Understanding and communicating prognosis

Death by Withdrawal From Dialysis

It is a difficult decision. Our hope is that we were able to help you in making the decision process easier.