Time-limited trials for acute dialysis decision-making for critically ill older patients: rationale, communication strategies, and future research
Acute dialysis decision-making for critically ill older adults needs improvement. Reflexive initiation followed by automatic transition to chronic dialysis may not align with many patients' goals. TLT-Ds can promote goal-concordant care. Further research is needed to guide their implementation and evaluate person-centered outcomes.
Authors
- K. Liu
- Kevin A Fiscella (ORCID: https://orcid.org/0000-0003-3613-8012)
- Paul R. Duberstein (ORCID: https://orcid.org/0000-0001-6882-0898)
- R. Epstein
- Fahad Saeed
- Douglas B. White
Institutions
- Rutgers, The State University of New Jersey (US)
- University of Pittsburgh (US)
- University of California, San Francisco (US)
- University of Rochester Medical Center (US)
- Environmental and Occupational Health Sciences Institute (US)
- Faculty of Public Health (GB)
- University of Rochester (US)
Publication Details
- Journal
- Current Opinion in Nephrology & Hypertension
- Published
- 2026-01-05
- DOI
- https://doi.org/10.1097/mnh.0000000000001155
- Primary Topic
- Dialysis and Renal Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00