Table 6.

Research recommendations for shared decision-making for KRT

• Assess optimal ways to deliver information to people and families with CKD

• Does provision of prognostic data alter decision-making?

• What are the reasons for variation in acceptance onto dialysis or transplantation programs?

•Why is morbidity and mortality high in the first 3 months of commencing hemodialysis, and can it be modified?

• Is there an optimal approach to the commencement of dialysis to reduce morbidity and mortality?

• Can comorbidity be factored into the reporting of kidney outcomes?

• Place greater emphasis on collection of patient-centered KRT outcomes, including quality of life, symptom burden, physical and cognitive function, and financial and caregiver burdens

• Can the reasons for commencing dialysis be uniformly collected to improve the understanding of variability in the timing of initiation of dialysis?

CKD, chronic kidney disease; KRT, kidney replacement therapy.