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BMJ 2006;333 (28 October), doi:10.1136/bmj.333.7574.0-b
Informative advance care planning can facilitate rather than destroy hope in patients with end stage renal disease say Davison and Simpson (p 886). In this qualitative in-depth interview study of 19 patients recruited from dialysis and renal insufficiency clinics, the authors found that patients' hopes become the cornerstone of end of life discussions by providing patient derived focus in planning care. Patients viewed having information about individual prognosis as vital to maintaining their ability to hope and make realistic decisions about their future care.
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