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Your kidney replacement therapy - it's your choice!

Therapy Choice

Choose your Therapy Option

Have you discussed the different therapies already with your physician? Are there any therapy options, that are not interesting or suitable for you - please feel free to exclude them.

Rate how well each treatment fits this value

These are the best therapies according to your lifestyle choices:

If your kidneys stop working properly, there are different treatment options available to support you and help manage your condition.

This tool is designed to help you understand these options and reflect on what may best fit your lifestyle, values, and needs. The final decision is made together with your healthcare team, who will guide you through the available treatment options.

To support this decision, clinical guidelines and international recommendations highlight the importance of a person-centered and shared decision-making approach1,2,3

This approach means working in partnership with your care team to set realistic, individualized goals that reflect your values and life priorities.1,2 It helps ensure your preferences guide decisions and keeps you informed, more confident, and empowered throughout your kidney care journey. Discuss all available options with your healthcare team.

Disclaimer

The information provided on the Fresenius Medical Care website is for informational purposes only and does not constitute medical advice. It is intended to support understanding of therapy options and does not replace discussions with your medical team.

Not all treatment options may be medically suitable for you. Therefore, the final decision about kidney replacement therapy should always be made in consultation with your medical team, as this tool focuses on lifestyle considerations only.

Please also note that this tool focuses on lifestyle aspects with regard to adults only, not children.

How it works

There are three different types of values: feel free to select any that apply to you. By selecting the most important ones, you’ll receive tailored information about all treatment options: dialysis, transplantation, and conservative care.

Please note that it may be helpful to start with just a few values (up to three), as the following pages contain a lot of information.

On the next page, you can exclude therapies that are not of interest to you, or that your physician has already told you are not an option.

After selecting your values and therapies, you will move on to the main section. Here, you’ll see information explaining why a therapy may or may not be suitable for the value(s) you selected, based on your lifestyle.

On the following pages, you can also rate each therapy based on this information. Beneath each therapy, you’ll find star ratings that allow you to rate it from 0 to 5 stars.

The more feedback you provide, the more accurate and helpful your final results will be.

What matters to you?

Select the values that are most important to you. For each value you choose, you will be able to rate how well each treatment option fits your life. When you are finished, we will show you a summary.

Tip

Start with 3 or 4 of your top values. Each one will take about 5 minutes. You can add more at the end.

Copy and save the url to save your progress

Fresenius Medical Care thanks the Medical Education Institute, Inc. (MEI, a non-profit organization), for the use of the program My Kidney Life Plan. This tool was adapted based on www.mydialysischoice.org with permissions from the MEI.

Save or send your results

Bookmark this page and come back later to see you chart again. Or, use the button to launch your email client with the link already typed in.

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      References:
      1. Chan CT, Blankestijn PJ, Dember LM, et al. Dialysis initiation, modality choice, access, and prescription: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int. 2019 Jul;96(1):37-47.

      2. Brown EA, Blake PG, Boudville N, et al. International Society for Peritoneal Dialysis practice recommendations: Prescribing high-quality goal-directed peritoneal dialysis. Perit Dial Int. 2020 May;40(3):244-253.

      3.  World Health Organization. Integrated people-centred care [Internet]. Geneva: World Health Organization; [cited 2026 Jan 21]. Available from: https://www.who.int/health-topics/integrated-people-centered-care

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