A proposal for guidelines for patient acceptance to and withdrawal from dialysis: a follow-up to the IOM report.
The Institute of Medicine Committee for the Study of the Medicare End Stage Renal Disease Program recommended that the nephrology community, patients, and families develop guidelines for decisions to accept patients to and withdraw them from dialysis. This article rebuts the arguments that have been voiced against such guidelines, presents arguments for them, and proposes a mechanism for their development should general agreement to draft such guidelines be reached.
Moss
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Rettig
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Cassel
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D003657:Decision Making; D003956:Dialysis; D017408:Guidelines as Topic; D015276:Health Care Rationing; D006801:Humans; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D010344:Patient Advocacy; D016312:Treatment Refusal; D014481:United States