Bioethics: principles and recommendations on the application of dialysis - palliative care
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End-stage renal disease
ethical issues
principles and recommendations
withdrawal from dialysis
palliative care

How to Cite

Marín Ballestas GA. Bioethics: principles and recommendations on the application of dialysis - palliative care. Rev. Colomb. Nefrol. [Internet]. 2016 Jan. 9 [cited 2021 Dec. 7];2(2):137-46. Available from:


The prevalence of chronic kidney disease in Colombia increased notoriously in the past years, reaching a number of 510 patients per million population. Both the initiation of and withdrawal from dialysis are a frequent topic of discussion that creates conflict in the search for a balance between quality and quantity of life. We must, therefore, evaluate the criteria, principles and recommendations whereby we make prudent decisions to withdraw patients from dialysis, when we consider that it is a futile treatment. After the withdrawal from dialysis, we must then introduce, as a therapeutic complement, palliative care to relieve pain and symptoms.
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