Background: Early initiation of chronic dialysis (starting dialysis with higher vs lower kidney function) has risen rapidly in the past 2 decades in Canada and internationally. despite absence of established health benefits and higher costs. In 2014. a Canadian guideline on the timing of dialysis initiation. https://www.roneverhart.com/Med-Mizer-AllCare-Scale-Fits-all-Med-Mizer-AllCare-Beds/