The strange case of Mr. H. Starting dialysis at 90 years of age: clinical choices impact on ethical decisions

BMC Medical Ethics 2017 18:61
Authors: Giorgina Barbara Piccoli, Andreea Corina Sofronie, Jean-Philippe Coindre
“Starting dialysis at an advanced age is a clinical challenge and an ethical dilemma. The advantages of starting dialysis at “extreme” ages are questionable as high dialysis-related morbidity induces a reflection on the cost- benefit ratio of this demanding and expensive treatment in a person that has a short life expectancy. Where clinical advantages are doubtful, ethical analysis can help us reach decisions and find adapted solutions.”
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