Unravelling Complex Choices: Multi-Stakeholder Perceptions on Dialysis Withdrawal and End-Of-Life Care in Kidney Disease

In Singapore, despite legislative efforts addressing the termination of non-beneficial treatments and improvements in palliative care planning, cultural barriers such as the societal taboo around death and strong familial influence persist, hindering patient autonomy in decisions about dialysis withdrawal and transitioning to end-of-life care. This study underscores the need for culturally sensitive educational tools to prepare kidney disease patients and caregivers for the transition off dialysis, empowering healthcare professionals to engage in crucial end-of-life discussions. The goal is to facilitate shared, informed decision-making aligned with patient values and cultural contexts.