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Value Placed on Comfort vs Life Prolongation Among Patients Treated With Maintenance Dialysis

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Key Points Question Are patients’ values around comfort vs life prolongation associated with their engagement in advance care planning and end-of-life care? Finding Of the 933 patients receiving maintenance dialysis… Click to show full abstract

Key Points Question Are patients’ values around comfort vs life prolongation associated with their engagement in advance care planning and end-of-life care? Finding Of the 933 patients receiving maintenance dialysis in this survey study, 452 indicated that they would value comfort-focused care rather than longevity-focused care if they were seriously ill. Differences in these health care values did not translate into substantial differences in either engagement in advance care planning or end-of-life care, both of which suggested a focus on life prolongation. Meaning This study found that there appeared to be a disconnect between patients’ expressed values around comfort vs longevity and engagement in advance care planning and end-of-life care.

Keywords: life prolongation; comfort life; life; care; maintenance dialysis

Journal Title: JAMA Internal Medicine
Year Published: 2023

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