Resource

If you have further questions, please ask your doctor.

If you need to talk to someone about how you feel or worry about the treatment cost, please ask to see a social worker.

If you need more information about Kidney Failure, please visit these sites:

1. HealthHub: https://www.healthhub.sg/a-z/diseases-and-conditions/kidney-failure
2. National Kidney Foundation: https://www.nkfs.org/
3. Kidney Dialysis Foundation: https://www.kdf.org.sg/
4. Ihsan Kidney Care: https://www.mtfa.org/ihsan-kidney-care
5. National Registry of Diseases Office: https://www.nrdo.gov.sg/publications/kidney-failure

Download the booklets here:

(A) English Materials

Booklet 1: Information Guide for Elderly People with Kidney Failure (This booklet provides information about treatment options for kidney failure)

Booklet 2: Decision Guide for Elderly People with Kidney Failure (This booklet helps you choose a treatment for kidney failure)

(B) 中文材料

手册（一）：老年肾衰竭患者的信息指南（此手册提供肾衰竭治疗选项的相关信息）

手册（二）：老年肾衰竭患者的决策指南（此手册帮助您选择一个肾衰竭的治疗方案）

myKidney Team

To contact us about the decision aid, email: lcpc@duke-nus.edu.sg

To cite: Ozdemir Semra, Choong Lina Hui Lin, Gan Sheryl Shien Wen, Choo Jason, Yee Alethea Chung Pheng, Lee Guozhang, Lim Lydia Wei Wei, Teo Boon Wee, Jafar Tazeen Hasan, Malhotra Chetna, Lee Jia Jia, Finkelstein Eric Andrew. myKIDNEY: A Decision Aid for Older Patients with Kidney Failure and Their Caregivers. Lien Centre for Palliative Care: Singapore (2021). https://www.duke-nus.edu.sg/lcpc/research/projects-(new)/interventional-studies/mykidney.

The authors have no conflict of interest.

The development of this decision aid was funded by Temasek Foundation (2020-SMF-0007), National Medical Research Council (NMRC/HSRG/0080/2017) and the Lien Centre for Palliative Care. This study has been approved by the Singhealth Centralised Institutional Review Board (2021/2143).

We would like to thank the following persons and institutions for their participation and support in the development of this decision aid:

• Department of Renal Medicine, Singapore General Hospital
• Division of Nephrology, National University Hospital
• National Registry of Diseases Office
• National Kidney Foundation
• myKIDNEY Steering Committee Members
• RETREAT Research Team members
• RETREAT Advisory Panel members

References

1. Incidence, Prevalence, Patient Characteristics, and Treatment Modalities. Retrieved from https://www.usrds.org/2018/view/v2_01.aspx
2. Seow, Y., Cheung, Y. B., Qu, L. M., & Yee, A. C. (2013). Trajectory of Quality of Life for Poor Prognosis Stage 5D Chronic Kidney Disease with and without Dialysis. American Journal of Nephrology,37(3), 231-238. doi:10.1159/000347220
3. National Registry of Diseases Office, Health Promotion Board

The following documents were referenced during the development of the booklet:

4. Singapore Renal Registry Annual Report 2016 - NRDO. Retrieved from https://www.nrdo.gov.sg/docs/librariesprovider3/default-document-library/singapore-renal-registry-annual-report-2016_1999-till-2016_v5_online_final.pdf?sfvrsn=0
5. Carson, R. C., Juszczak, M., Davenport, A., & Burns, A. (2009). Is Maximum Conservative Management an Equivalent Treatment Option to Dialysis for Elderly Patients with Significant Comorbid Disease? Clinical Journal of the American Society of Nephrology,4(10), 1611-1619. doi:10.2215/cjn.00510109
6. De Biase V, Tobaldini O, Boaretti C, et al. Prolonged conservative treatment for frail elderly patients with end-stage renal disease: the Verona experience. Nephrol Dial Transplant. 2008; 23(4):1313–1317. doi:10.1093/ndt/gfm772
7. Silva-Gane, M. D., Wellsted, D., Greenshields, H., Norton, S., Chandna, S. M., & Farrington, K. (2012). Quality of Life and Survival in Patients with Advanced Kidney Failure Managed Conservatively or by Dialysis. Clinical Journal of the American Society of Nephrology, 7(12), 2002-2009. doi:10.2215/cjn.01130112
8. Thorsteinsdottir, B., Murad, M. H., Montori, V., & Prokop. (2013). Ageism vs the technical imperative applying the GRADE framework to the evidence on hemodialysis in very elderly patients. Clinical Interventions in Aging, 797. doi:10.2147/cia.s43817
9. Seow, Y., Cheung, Y. B., Qu, L. M., & Yee, A. C. (2013). Trajectory of Quality of Life for Poor Prognosis Stage 5D Chronic Kidney Disease with and without Dialysis. American Journal of Nephrology, 37(3), 231-238. doi:10.1159/000347220
10. Murtagh, F. E., Addington-Hall, J. M., & Higginson, I. J. (2011). End-Stage Renal Disease: A New Trajectory of Functional Decline in the Last Year of Life. Journal of the American Geriatrics Society, 59(2), 304-308. doi:10.1111/j.1532-5415.2010.03248.x
11. Tan Tock Seng Hospital, Ministry Of Health, Dialysis Counselling Booklet Kidney Research UK, Dialysis: making the right choices for you
12. Murtagh, F. E., Marsh, J. E., Donohoe, P., Ekbal, N. J., Sheerin, N. S., & Harris, F. E. (2007). Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5. Nephrology Dialysis Transplantation, 22(7), 1955-1962. doi:10.1093/ndt/gfm153
13. Chandna, S. M., Silva-Gane, M. D., Marshall, C., Warwicker, P., Greenwood, R. N., & Farrington, K. (2010). Survival of elderly patients with stage 5 CKD: Comparison of conservative management and renal replacement therapy. Nephrology Dialysis Transplantation, 26(5), 1608- 1614. doi:10.1093/ndt/gfq630