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* * * * /about/definition/en/print.html * * * * * * * * * * The Renal Physicians Working Group on Shared Decision Making, Nephrologists should... GIVE INFORMATION: Fully inform AKI, stage 4 5 CKD, and ESRD patients about their diagnosis, prognosis, all treatment options.  DISCUSS PROGNOSIS: The “surprise” question “Would I be surprised if this patient died in the next year?” can be used together with known risk factors for poor prognosis to determine if dialysis is indicated.  DETERMINE GOALS OF CARE: Estimate of prognosis should be discussed with the patient or legal agent, patient’s fam