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• In the LIBERATE-D randomized trial, a conservative, indication-based dialysis strategy yielded higher unadjusted rates of kidney recovery at hospital discharge (64% vs 50%; absolute difference 13.8%, 95% CI 0.8%–26.8%; P = .04).
• The conservative group had substantially fewer dialysis sessions per week (median 1.8 vs 3.1) and more dialysis-free days to day 28 (median difference 16 days).
