We realize that there might be significant barriers to recruitment into such a study given the powerful technical and moral imperative to treat 5 , as well as the risk of being accused of advocating death panels or of being ageist. 62 , 63 Patients may also be resistant to randomization based on their goals of care.
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Ageism vs. the technical imperative, applying the GRADE framework to the evidence on hemodialysis in very elderly patients.
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