Butler CR, Reese PP, Perkins JD, et al. - This study was performed among US adults with ESKD who died between 2005 and 2014 following experiencing differing exposure to the kidney transplant process, to compare six measures of intensity of end-of-life care in these patients in order to understand how patients’ participation in the transplant process might associate with patterns of end-of-life care. In adjusted analyses, significantly more chance of having been admitted to an intensive care unit and having received an intensive procedure in the last 30 days of life was observed in patients exposed to the transplant process vs the reference group (had never been waitlisted for or received a transplant); more chance of dying in the hospital was also noted in the former group. Overall, findings demonstrated the receipt of more intensive patterns of end-of-life care among patients who had engaged in the kidney transplant process vs other patients with ESKD. The relevance of advance care planning, even for this relatively healthy segment of the ESKD population, was supported by these observations.