Age

21–any

Sex

ALL

Healthy volunteers

Not accepted

all patients who are newly-initiated on HD and who meet the following criteria will be included in the study:
male or female 21 years of age or older with stage 5 CKD (eGFR \< 15 ml/min/1.73m2)
newly-initiated on HD within the past 4-8 weeks of being seen in the NUH outpatient renal clinic

transient HD patients
patients with poor cognitive function or are not able to complete the PRO questionnaires.

Impact of a Multidisciplinary Intensive Management Clinic on Outcomes in Multi-Ethnic Asian Incident Hemodialysis Patients