{'fraction_non_alphanumeric': 0.026050420168067228, 'fraction_numerical': 0.010924369747899159, 'mean_word_length': 5.170984455958549, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Patients with Chronic Kidney Disease Stages 3 and 4 Demand Survival Information on Dialysis

Current North American recommendations are that physicians disclose mortality data to patients embarking upon dialysis (1); however, only a minority of physicians disclose the information to patients that do not specifically ask for it (2). Although the recommendation (for disclosure) is in keeping with current ethical principles (3) and judicial decisions (4,5), scant data exist to support this recommendation in potential dialysis patients. Recently we reported in a cohort of patients seen at a nephrology clinic for the first time that patients would want their physician to disclose, without prompting, prognostic information should they require dialysis in the future, whether the prognosis be good or bad (6). Unfortunately, our University Ethics Board would not allow us to study patients with chronic kidney disease (CKD) stages 3 and 4, so that most of the patients studied had little chance of requiring future dialysis. An accompanying editorial (7) recommended that the study be repeated in a CKD cohort. We have repeated this study in a cohort of patients with CKD stages 3 and 4.