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Ethics Series
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The Evolving Ethics of Dialysis in the United States: A Principlist Bioethics Approach

Catherine R. Butler, Rajnish Mehrotra, Mark R. Tonelli and Daniel Y. Lam
CJASN April 2016, 11 (4) 704-709; DOI: https://doi.org/10.2215/CJN.04780515
Catherine R. Butler
Division of General Internal Medicine and
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Rajnish Mehrotra
Kidney Research Institute and Harborview Medical Center, Division of Nephrology, Department of Medicine, University of Washington, Seattle, Washington; and
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Mark R. Tonelli
Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, Washington
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Daniel Y. Lam
Division of Nephrology, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, Washington;
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Article Information

vol. 11 no. 4 704-709
DOI 
https://doi.org/10.2215/CJN.04780515
PubMed 
26912540

Published By 
American Society of Nephrology
Print ISSN 
1555-9041
Online ISSN 
1555-905X
History 
  • Published online April 7, 2016.

Article Versions

  • Earlier version (February 11, 2016 - 06:38).
  • You are viewing the most recent version of this article.
Copyright & Usage 
Copyright © 2016 by the American Society of Nephrology

Author Information

  1. Catherine R. Butler*,
  2. Rajnish Mehrotra†,
  3. Mark R. Tonelli‡,
  4. Daniel Y. Lam§
  1. *Division of General Internal Medicine and
  2. §Division of Nephrology, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, Washington;
  3. †Kidney Research Institute and Harborview Medical Center, Division of Nephrology, Department of Medicine, University of Washington, Seattle, Washington; and
  4. ‡Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, Washington
  1. Correspondence:
    Dr. Catherine R. Butler, Division of General Internal Medicine, Harborview Medical Center, 325 Ninth Avenue, Campus Box 359780, Seattle, WA, 98104. Email: cathb{at}u.washington.edu
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Clinical Journal of the American Society of Nephrology: 11 (4)
Clinical Journal of the American Society of Nephrology
Vol. 11, Issue 4
April 07, 2016
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The Evolving Ethics of Dialysis in the United States: A Principlist Bioethics Approach
Catherine R. Butler, Rajnish Mehrotra, Mark R. Tonelli, Daniel Y. Lam
CJASN Apr 2016, 11 (4) 704-709; DOI: 10.2215/CJN.04780515

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The Evolving Ethics of Dialysis in the United States: A Principlist Bioethics Approach
Catherine R. Butler, Rajnish Mehrotra, Mark R. Tonelli, Daniel Y. Lam
CJASN Apr 2016, 11 (4) 704-709; DOI: 10.2215/CJN.04780515
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  • Article
    • Abstract
    • Introduction
    • Justice and Scarce Resources: The “Life or Death Committee”
    • Considerations of Beneficence and Nonmaleficence with Expansion of Dialysis
    • Technology in Service of Individual Values
    • Renewed Concerns of Justice in the Context of Limited Fiscal Resources
    • Conclusion
    • Disclosures
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

More in this TOC Section

  • Time to Improve Informed Consent for Dialysis: An International Perspective
  • Update on Ethical Issues in Pediatric Dialysis: Has Pediatric Dialysis Become Morally Obligatory?
Show more Ethics Series

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Keywords

  • dialysis
  • ESRD
  • Beneficence
  • Bioethics
  • Humans
  • Patient Preference
  • quality of life
  • Social Justice
  • United States

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