Table 1.

Contraindications to dialysis initiation in neonates with ESKD reported among surveyed centers (n = 38 centers)

Contraindications reported in > 50% of surveyed centers	Contraindications reported in 10–50% of surveyed centers	Contraindications reported in < 10% of surveyed centers	Contraindications reported in zero % of surveyed centers
Parent/guardian choosing not to pursue dialysis (N = 26; 68%) Born below a minimum birth weight (n = 21; 55%) Surgeon indicates contraindication for dialysis access placement (n = 21, 55%)	Severe pulmonary disorder/respiratory disease (n = 17; 47%) Severe/life-threatening genetic abnormality (n = 13; 34%) Severe neurologic impairment (n = 7; 18%) Refractory hypotension (n = 7; 18%) Severe/life-threatening cardiac abnormality (n = 7; 18%)	Severe/life-threatening liver abnormality (n = 3; 8%) Below a minimum gestational age (n = 2; 5%) Disagreement between nephrology and other services regarding the decision to initiate dialysis (n = 1; 3%)	Significant colorectal anomalies that would require creation of an ostomy Presence of specific primary kidney disease (i.e., autosomal recessive polycystic kidney disease) Presence of antenatal anuria/oliguria Presence of social determinants of health inequities that would limit family’s ability to provide maintenance home dialysis therapy

Abbreviation: ESKD, end-stage kidney disease.