[Comment] Preparing for dialysis when dialysis might never begin?
For older people (aged ≥80 years) with frailty or multimorbidity living with kidney failure, choosing a care pathway could involve deciding whether to prepare for dialysis long before it is needed. Preparation involves education, appointments, investigations, and, for some people, surgery to create dialysis access. The alternative care pathway is conservative kidney management, which involves active care aimed at slowing kidney disease progression, managing symptoms, and preserving quality of life without planning for dialysis.






















