Chronic Kidney Disease in the Elderly - Who Has it? Who Does One Treat and How are They to be Treated?

Samir S. Patel, Jean L. Holley

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The prevalence of CKD in the elderly is rising worldwide with the potential for tremendous individual and societal burdens. Accurate diagnosis of CKD by GFR estimation equations is improving, with refinements to diagnosis and prognosis achieved with quantification of albuminuria. Increasing scientific discovery of the causes of kidney senescence and eventual development of strategies to reduce progressive renal loss will be key elements of nephrologic care in the future. Management of the failing kidney of elderly patients requires thoughtful consideration and planning. Determination of illness trajectory, functional status, as well as establishing goals of care are essential considerations for the caring nephrologist. Nephrologists should be aware of the risks and benefits of renal replacement therapy and how to implement conservative and palliative care in treatment of elderly patients with advancing renal disease.

Original languageEnglish (US)
Title of host publicationChronic Renal Disease
PublisherElsevier Inc.
Pages843-853
Number of pages11
ISBN (Electronic)9780124116160
ISBN (Print)9780124116023
DOIs
StatePublished - Jan 1 2015

Keywords

  • Aging
  • Dialysis
  • Elderly
  • Frailty
  • Palliative care
  • Renal disease
  • Renal replacement therapy
  • Senescence

ASJC Scopus subject areas

  • Medicine(all)

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