Hi Creat 4 for age 71y in a male patient eGFR is 15ml/min which means he is stage 5 CKD. We initiate dialysis when creatinine reaches 10 or before his symptoms worsen on medical management

There is no specific level of creatinine at which dialysis is initiated. It depends on lot of factors like potassium level, acid level, fluid overload, urine output, neurological and cardiac factors But in general, if no other problems are there, dialysis  needs to be initiated when creatine is around 8 to 10 Need to know his history and further details to help with medications and dietary modifications to stabilize the creatinine