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Supporting Shared Decision-Making in Life-Altering Kidney Therapy Decisions for Older Adults

JAMA Internal Medicine 10.1001/jamainternmed.2025.5554

October 27, 2025 at 11:00 AM EDT

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Shared decision-making is essential to help older adults with advanced CKD understand therapy options and make goal-concordant decisions. Primary care clinicians’ collaboration with nephrologists to promote shared decision-making and deliver patient-centered, coordinated care is critically important.

Corresponding Author: Jane O. Schell, MD, MHS, Section of Palliative Care and Medical Ethics, Division of Renal-Electrolyte, University of Pittsburgh, 200 Lothrop St, Pittsburgh, PA 15213 (schelljo@upmc.edu).

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