Guerrero Riscos, María AngelesToro Prieto, Francisco JavierBatalha Caetano, PaulaSalgueira Lazo, MercedesGonzález Cabrera, FaynaMarrero Robayna, SilviaSantana Estupiñán, RaquelÁlvarez Martín, Carlos2023-01-252023-01-252019-04-23http://hdl.handle.net/10668/13881Analyze evolution Renal Chronic Failure stage 4-5 (ACRF) patients and influence information they receive (educational process, EP) in modality Renal Replacement Therapy (RRT) or conservative treatment (CT) in multidisciplinar ACRF Office. Prospective, multicenter study (3 centers). Inclusion: from June-01-2014 to October-01-2015; observation: 12 months or until start RRT or death if they occur before 12 months; ends October-01-2016. 336 patients were included (60% males), median and intercuartile rank 71.5 (17), 55% ≥ 70 years; Follow up initiation eGFR CKD-EPI: 21 (9) ml / min / 1.73m2; Charlson Index (ChI) with / without age 8 (3) / 4 (2); Diabetic patients: 52,4%. The EP was carried out in 168, eGFR 15 (10) ml / min / 1.73m2. The initial treatment election: 26% peritoneal dialysis (PD), 45% hemodyalisis (HD), 26% CT, kidney trasplant 3%; 60 patients started RRT: 3.3% kidney traspant; 30% PD, 66% HD; 104 admissions in 73 patients, the most frequent cause: cardiovascular disease (42%). Fallecimiento: 23 patients (6.8%). Age was higher (78.4 (6) vs. 67.8 (13.4), P The population of ACRF patients is elder, comorbid, with high rate hospitalizations rate. The PD election is higher than usual. The EP has been very useful tool and has favored the PD choice.enAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Advanced renal chronic failureConservative treatmentDiálisis domiciliariaEducational processElección de tratamiento renal sustitutivoEnfermedad renal crónica avanzadaHome dialysisProceso educativoRenal replacement therapy modality choiceTratamiento conservadorAgedAged, 80 and overConservative TreatmentDecision MakingFemaleHumansKidney Failure, ChronicMaleMiddle AgedPatient Education as TopicProspective StudiesRenal DialysisSeverity of Illness IndexTime Factorsresearch article31027895open access10.1016/j.nefro.2019.02.0042013-2514https://doi.org/10.1016/j.nefro.2019.02.004