Latest / GeriPal - A Geriatrics and Palliative Medicine Podcast
Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath
We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we're going to focus upstream on the decision to initiate dialysis vs conservative kidney management.
As background, we discuss Manju Kurella Tamura's landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursing home residents who initiate dialysis. If the purpose of initiating dialysis is improving function - our complex, frail, older patients are likely to be disappointed.
We also briefly mention Susan Wong's terrific studies…
The skinny
The skinny isn't ready yet — notes appear once the transcript is processed.