Renal Replacement Therapy in the Elderly Population

被引：83

作者：

Berger, Joseph R. ^{[3
]}

Hedayati, S. Susan ^{[1
,2
]}

机构：

[1] Vet Affairs N Texas Hlth Care Syst, Renal Sect, Med Serv, Dallas, TX USA

[2] Univ Texas SW Med Ctr Dallas, Div Nephrol, Dept Med, Dallas, TX 75390 USA

[3] Univ Texas SW Med Ctr Dallas, Dept Internal Med, Dallas, TX 75390 USA

来源：

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY | 2012年 / 7卷 / 06期

关键词：

CHRONIC KIDNEY-DISEASE; QUALITY-OF-LIFE; MAXIMUM CONSERVATIVE MANAGEMENT; ASSISTED PERITONEAL-DIALYSIS; PATIENTS STARTING DIALYSIS; COGNITIVE IMPAIRMENT; CLINICAL-OUTCOMES; OLDER-ADULTS; FUNCTIONAL STATUS; HEMODIALYSIS;

D O I：

10.2215/CJN.10411011

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

ESRD has become an important problem for elderly patients. The segment of the ESRD population age 65 years or older has grown considerably, and this growth is expected to accelerate in coming years. Nephrologists caring for the elderly with advanced kidney disease will encounter patients with comorbid conditions common in younger patients, as well as physical, psychological, and social challenges that occur with increased frequency in the aging population. These challenging factors must be addressed to help inform decisions regarding the option to initiate dialysis, the choice of dialysis modality, whether to pursue kidney transplantation, and end-of-life care. This article will highlight some common problems encountered by elderly patients with ESRD and review data on the clinical outcomes of elderly patients treated with different modalities of dialysis, outcomes of kidney transplantation in the elderly, and nondialytic management of CKD stage 5. Clin J Am Soc. Nephrol 7: 1039-1046, 2012. doi: 10.2215/CJN.10411011

引用

页码：1039 / 1046

页数：8

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