title: Too many patients who are too sick to benefit start chronic dialysis nephrologists need to learn to "just say no". Con.
authors.affiliation: Boston University Medical Center, Boston, MA, USA.
authors.forename: Norman G
authors.initials: NG
authors.lastname: Levinsky
mesh_terms: D000367:Age Factors; D000368:Aged; D015897:Comorbidity; D003704:Dementia / Q000150:complications; D015276:Health Care Rationing; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D008017:Life Expectancy; D008297:Male; D018447:Medical Futility; D008875:Middle Aged; D009398:Nephrology; D018579:Patient Selection; D011287:Prejudice; D011788:Quality of Life; D016079:Refusal to Treat; D006435:Renal Dialysis