Most patients who discontinuehemodialysis (HD) prior to deathdo so with the aid of palliative careteams, researchers reported at the2018 Annual Dialysis Conference inOrlando, Florida.
In a study of 262 adult patients whodiscontinued HD, Joy C.Y. Chen, MD,and colleagues at Mayo Clinic inRochester, Minnesota, found that 90 patients (34%) received palliative careconsultation within 6 months ofdeath and 172 (66%) did not. Of the patients who received palliative care, 61 (36%) had their initial consultations in theinpatient setting. On multivariableanalysis, longer duration of HD andrecent hospitalization prior to deathwere significantly associated withpalliative care consultation within6 months of death.