A member asked:

Approx how much time does a 90 y o have have left with stage 4 renal failure refuses dialysis in future?

3 doctors weighed in across 2 answers
Dr. Amy Friedman answered

Specializes in Transplant Surgery

No crystal ball: A pulitzer prize winning author, art buchwald started a new phase of his career when he declined dialysis, entered a hospice and outlived their guidelines of 6 months survival. It is not really known. Keep things stable, control the bp, take the meds and maybe the patient will outlive us all.

Answered 11/2/2019

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Unknown: It is not possible to estimate life expectancy based on the information given. Lots of patients with stage 4 CKD live for years without having to start dialysis. Others deteriorate rapidly and will die of kidney failure if dialysis is not started.

Answered 2/13/2015

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