Death after withdrawal from dialysis: the most common cause of XXXX in a French dialysis population.

@entity1 @entity455 @entity64 @entity6 @entity303 @entity5 @entity3085 @entity204 @entity454
BACKGROUND: Discontinuation of dialysis is a common cause of @entity204 in @entity454 ( @entity454 ) @entity1 in North America and the UK, but appears to be unusual in the rest of Europe. The aim of this retrospective study was to characterize withdrawal from dialysis in a French population cohort. METHODS: We assessed the cause of @entity204 , and the medical and social characteristics of chronic dialysis @entity1 in a French population who died in 2001. We compared @entity1 who died after withdrawal from dialysis and @entity1 continuing dialysis until @entity204 . We determined the decision-making process when dialysis was withdrawn. RESULTS: In a population cohort of 1436 dialysis @entity1 , 196 died (13.9%). Of them, 40 @entity1 (20.4%) died following withdrawal from dialysis. This was the most common cause of @entity204 , followed by @entity455 (18.4%). @entity1 withdrawing from dialysis had a significantly higher rate of @entity303 (17.5 vs 6.4%, P = 0.02), a poor general condition (55 vs 15.4%, P < 0.001), and were dependent in their life for everyday activities in comparison with @entity1 who died from other causes. They were not different in age, sex, duration of dialysis treatment, dialysis technique, @entity455 , @entity6 , @entity64 or @entity5 , but the sample size was small. Treatment was more often removed in @entity1 with severe medical complications and/or @entity3085 (90%). The decision to stop dialysis was made most often by a physician (77.5%). CONCLUSION: Death after withdrawing from dialysis was the most common cause of @entity204 in @entity454 @entity1 in our French population cohort. The @entity1 who died after discontinuation of treatment were more often in a poor general condition, near the end of life, and most often the physician decided to stop dialysis treatment.
