In an invited editorial, we discuss the findings of a recent meta-analysis of cohort studies

Comparing survival of patients who opted for maintenance dialysis vs. conservative medical management without dialysis for their end-stage renal disease. While some prior studies have reported longer survival among patients opting for dialysis, other studies have reported no difference in survival for older patients (aged ≥75 years) with a high burden of comorbidity. We discuss the implication of prognostic information comparing dialysis and conservative care in counseling patients with advanced kidney disease in the US context. 

Making Sense of Prognostic Information About Maintenance Dialysis versus Conservative Care for Treatment of Advanced Kidney Disease