In June 2010, the American Academy of Pediatrics endorsed the following publication: Renal Physicians Association. Clinical Practice Guideline on Shared Decision-Making in the Appropriate Initiation of and Withdrawal From Dialysis. 2nd ed. Rockville, MD: Renal Physicians Association; 2010. The full guideline is available for purchase, and a summary of recommendations is available for free at:

All statements of endorsement from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.

Competing Interests

This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has neither solicited nor accepted any commercial involvement in the development of the content of this publication.