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ed with both an increased risk of cumulative time admitted to hospital and joint risk of hospitalization and death. Among incident dialysis patients, a higher frailty severity as defined by the CFS is associated with both an increased risk of cumulative time admitted to hospital and joint risk of hospitalization and death. Patient involvement in dialysis decision-making is crucial, yet little is known about patient-reported outcomes over time on dialysis. To examine health-related outcomes over 24 and 36 months in an older cohort of dia