Discussions of the kidney disease trajectory by elderly patients and nephrologists: a qualitative study.

@article{Schell2012DiscussionsOT,
  title={Discussions of the kidney disease trajectory by elderly patients and nephrologists: a qualitative study.},
  author={Jane O Schell and Uptal D. Patel and Karen E. Steinhauser and Natalie Ammarell and James A. Tulsky},
  journal={American journal of kidney diseases : the official journal of the National Kidney Foundation},
  year={2012},
  volume={59 4},
  pages={495-503}
}
BACKGROUND Elderly patients with advanced kidney disease experience considerable disability, morbidity, and mortality. Little is known about the impact of physician-patient interactions on patient preparation for the illness trajectory. We sought to describe how nephrologists and older patients discuss and understand the prognosis and course of kidney disease leading to renal replacement therapy. METHODS We conducted focus groups and interviews with 11 nephrologists and 29 patients older than… CONTINUE READING