Dialysis, Transplant or Conservative Care

A diagnosis of stage 4 chronic kidney disease can bring difficult decisions about the future. You may hear about dialysis, kidney transplantation, or conservative kidney care and wonder how to compare these options.

Dialysis, Transplant or Conservative Care? is an illustrated decision guide designed to help people with advanced kidney disease and their families understand the choices they may wish to discuss with their healthcare team.

Inside, you'll explore:

• What stage 4 kidney disease means: Understand the basics of advanced chronic kidney disease and why planning ahead can be helpful.

• Dialysis options: Learn the general differences between hemodialysis and peritoneal dialysis, including practical considerations to discuss.

• Kidney transplantation: Explore the evaluation process, potential benefits, limitations, and questions about eligibility.

• Conservative kidney care: Understand how supportive care can focus on symptoms, quality of life, and personal priorities without dialysis.

• Compare what matters to you: Consider daily routines, travel, support at home, treatment burdens, personal goals, and quality of life.

• Prepare for appointments: Use guided questions and a comparison worksheet to organize your thoughts and discuss your options.

This book does not tell you which treatment to choose. Instead, it helps you prepare for shared decision-making with your nephrologist and care team.

If you or someone you love is living with stage 4 kidney disease, this guide offers a structured way to understand the options, ask clearer questions, and bring personal values into the conversation.