AKI Biomarkers NGAL KIM1 — ESENeph MCQ
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Correct answer: D — Choose through shared assessment of goals, lifestyle and suitability
The best answer is “Choose through shared assessment of goals, lifestyle and suitability”. NICE prioritizes informed choice and revisiting decisions. Survival comparisons alone should not override home circumstances, residual function, access, comorbidity and patient goals. “Describe expected haemodialysis outcomes for this patient profile” is less appropriate because observational comparisons are confounded and do not support a universal claim “Describe expected peritoneal-dialysis outcomes for this patient profile” is less appropriate because any early observational advantage is not universal or permanent “Include age, frailty, support and comorbidity in modality assessment” is less appropriate because multiple clinical and personal factors determine suitability “Discuss conservative management alongside dialysis when clinically relevant” is less appropriate because NICE requires all appropriate options to be discussed
Reference: NICE NG107: renal replacement therapy and conservative management: https://www.nice.org.uk/guidance/ng107/chapter/Recommendations