title: Too many patients who are too sick to benefit start chronic dialysis nephrologists need to learn to "just say no".
authors.affiliation: Center for Health Ethics and Law, Section of Nephrology, West Virginia University, Morgantown, WV, USA.
authors.forename: Alvin H
authors.initials: AH
authors.lastname: Moss
mesh_terms: D000368:Aged; D001424:Bacterial Infections / Q000150:complications; D003110:Colonic Neoplasms / Q000150:complications; D015897:Comorbidity; D003657:Decision Making; D003704:Dementia / Q000150:complications; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D018447:Medical Futility; D009398:Nephrology; D018579:Patient Selection; D010361:Patients / Q000523:psychology; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011788:Quality of Life; D016079:Refusal to Treat; D006435:Renal Dialysis; D012720:Severity of Illness Index