Refusal of initiation of dialysis by elderly patients with chronic renal failure

Abstract

Refusal of initiation of dialysis by elderly patients with chronic renal failure Hiroshi Fujimaki1), Yutaka Kasuya2), Sachiko Kawaguchi3), Shino Hara3), Shiro Koga4), Tadao Takahashi5) and Shoichi Mizuno6)

Factors influencing patients with stage 5 chronic kidney disease to opt for conservative management: a practitioner research study

“…Perceiving dialysis as a treatment for younger people was a constant theme throughout the data analysis of this study. Recent studies (Fujimaki et al. 2005, Noble et al.…”

Opting out of dialysis – Exploring patients' decisions to forego dialysis in favour of conservative non‐dialytic management for end‐stage renal disease

“…Public interest and curiosity may be aroused in questioning an individual's reasons for what appears to be the refusal of a life‐sustaining measure, yet little is understood about the decision process from patients' perspective. The majority of previous studies focused on the underlying reasons from the physician's perspective, in a decision which is very much physician‐centred, or derived data from administrative databases rather than directly from patients . A further concern relates to the under‐representation of culturally and linguistically diverse patient samples.…”

Patient Experience of Dialysis Refusal or Withdrawal—a Review of the Literature

“…In relation to deciding not to commence dialysis, there are only three studies (Ashby et al . 2005; Fujimaki et al . 2005; Chan et al .…”