Is there a rationale for rationing chronic dialysis? A hospital based cohort study of factors affecting survival and morbidity.

@article{Chandna1999IsTA,
  title={Is there a rationale for rationing chronic dialysis? A hospital based cohort study of factors affecting survival and morbidity.},
  author={Shahid M. Chandna and Juliane Schulz and Christina Lawrence and Roger N. Greenwood and Kenneth Farrington},
  journal={BMJ},
  year={1999},
  volume={318 7178},
  pages={
          217-23
        }
}
OBJECTIVES To determine factors influencing survival and need for hospitalisation in patients needing dialysis, and to define the potential basis for rationing access to renal replacement therapy. DESIGN Hospital based cohort study of all patients starting dialysis over a 4 year recruitment period (follow up 15-63 months). Groups were defined on the basis of age, comorbidity, functional status, and whether dialysis initiation was planned or unplanned. SETTING Renal unit in a district… CONTINUE READING
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