n a study of 379 patients aged 75 years and older who initiated dialysis, 75% started treatments in the hospital because of an acute illness or surgery, and loss of independent living frequently occurred following such hospitalizations. Of 254 patients who came from home, 28% died in the hospital or were discharged to hospice, and only 37% could return home. Thirty-nine percent of patients died within 6 months of starting treatment; most of these initiated treatment in the ICU, while patients who started dialysis as outpatients had reasonably good survival. The findings were presented at ASN Kidney Week 2013.
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