Outcomes and cost-effectiveness of initiating dialysis and continuing aggressive care in seriously ill hospitalized adults. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.

@article{Hamel1997OutcomesAC,
  title={Outcomes and cost-effectiveness of initiating dialysis and continuing aggressive care in seriously ill hospitalized adults. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments.},
  author={Mary Beth Hamel and Russell S. Phillips and Roger B. Davis and Nicholas Desbiens and Alfred F. Connors and Joan M. Teno and Noah Wenger and Joanne L. Lynn and Albert W. Wu and William J. Fulkerson and Joel Tsevat},
  journal={Annals of internal medicine},
  year={1997},
  volume={127 3},
  pages={
          195-202
        }
}
The development of renal failure requiring dialysis in the setting of intensive treatment for serious illness is a poor prognostic sign [1-5]. The decision to initiate dialysis in this context requires assessment of the patient's likelihood of survival with maximal support and determination of the usefulness and appropriateness of continuing aggressive care. This decision often represents a clinical cross-roads at which patients and their families and physicians face the difficult choice… CONTINUE READING
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