End-stage renal disease in the elderly: dialysis or conservative management?

Emaad Abdel-Rahman, Jean L. Holley

Research output: Contribution to journalReview article

Abstract

The challenges of health care in an aging population are mirrored in the field of nephrology, in which an increasing proportion of the population has chronic kidney disease (CKD) and end-stage renal disease requiring dialysis. The need for dialysis negatively influences survival and health-related quality of life (HRQoL) in all age groups, but particularly in the elderly, raising the issue of withholding dialysis and emphasizing conservative management of CKD in some patients. Increased mortality is seen in dialysis patients who are elderly, have significant comorbidities, and have poor functional status. In such patients, the option of palliative care should be discussed in order to focus on HRQoL in the physical, psychological, and social domains. Although survival among the elderly who forgo dialysis is worse than those who begin dialysis, hospitalizations and HRQoL may be better, especially if the CKD-associated complications are appropriately addressed through effective palliative care.

Original languageEnglish (US)
Pages (from-to)122-127
Number of pages6
JournalHospital practice (1995)
Volume38
Issue number3
DOIs
StatePublished - Jan 1 2010

Fingerprint

Chronic Kidney Failure
Dialysis
Chronic Renal Insufficiency
Quality of Life
Palliative Care
Nephrology
Survival
Population
Conservative Treatment
Comorbidity
Hospitalization
Age Groups
Psychology
Delivery of Health Care
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

End-stage renal disease in the elderly : dialysis or conservative management? / Abdel-Rahman, Emaad; Holley, Jean L.

In: Hospital practice (1995), Vol. 38, No. 3, 01.01.2010, p. 122-127.

Research output: Contribution to journalReview article

@article{f5e97ed58cdf40ccb936d8fd03535267,
title = "End-stage renal disease in the elderly: dialysis or conservative management?",
abstract = "The challenges of health care in an aging population are mirrored in the field of nephrology, in which an increasing proportion of the population has chronic kidney disease (CKD) and end-stage renal disease requiring dialysis. The need for dialysis negatively influences survival and health-related quality of life (HRQoL) in all age groups, but particularly in the elderly, raising the issue of withholding dialysis and emphasizing conservative management of CKD in some patients. Increased mortality is seen in dialysis patients who are elderly, have significant comorbidities, and have poor functional status. In such patients, the option of palliative care should be discussed in order to focus on HRQoL in the physical, psychological, and social domains. Although survival among the elderly who forgo dialysis is worse than those who begin dialysis, hospitalizations and HRQoL may be better, especially if the CKD-associated complications are appropriately addressed through effective palliative care.",
author = "Emaad Abdel-Rahman and Holley, {Jean L.}",
year = "2010",
month = "1",
day = "1",
doi = "10.3810/hp.2010.06.305",
language = "English (US)",
volume = "38",
pages = "122--127",
journal = "Hospital practice (1995)",
issn = "2154-8331",
publisher = "Taylor and Francis Ltd.",
number = "3",

}

TY - JOUR

T1 - End-stage renal disease in the elderly

T2 - dialysis or conservative management?

AU - Abdel-Rahman, Emaad

AU - Holley, Jean L.

PY - 2010/1/1

Y1 - 2010/1/1

N2 - The challenges of health care in an aging population are mirrored in the field of nephrology, in which an increasing proportion of the population has chronic kidney disease (CKD) and end-stage renal disease requiring dialysis. The need for dialysis negatively influences survival and health-related quality of life (HRQoL) in all age groups, but particularly in the elderly, raising the issue of withholding dialysis and emphasizing conservative management of CKD in some patients. Increased mortality is seen in dialysis patients who are elderly, have significant comorbidities, and have poor functional status. In such patients, the option of palliative care should be discussed in order to focus on HRQoL in the physical, psychological, and social domains. Although survival among the elderly who forgo dialysis is worse than those who begin dialysis, hospitalizations and HRQoL may be better, especially if the CKD-associated complications are appropriately addressed through effective palliative care.

AB - The challenges of health care in an aging population are mirrored in the field of nephrology, in which an increasing proportion of the population has chronic kidney disease (CKD) and end-stage renal disease requiring dialysis. The need for dialysis negatively influences survival and health-related quality of life (HRQoL) in all age groups, but particularly in the elderly, raising the issue of withholding dialysis and emphasizing conservative management of CKD in some patients. Increased mortality is seen in dialysis patients who are elderly, have significant comorbidities, and have poor functional status. In such patients, the option of palliative care should be discussed in order to focus on HRQoL in the physical, psychological, and social domains. Although survival among the elderly who forgo dialysis is worse than those who begin dialysis, hospitalizations and HRQoL may be better, especially if the CKD-associated complications are appropriately addressed through effective palliative care.

UR - http://www.scopus.com/inward/record.url?scp=84986305893&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84986305893&partnerID=8YFLogxK

U2 - 10.3810/hp.2010.06.305

DO - 10.3810/hp.2010.06.305

M3 - Review article

C2 - 20890061

AN - SCOPUS:84986305893

VL - 38

SP - 122

EP - 127

JO - Hospital practice (1995)

JF - Hospital practice (1995)

SN - 2154-8331

IS - 3

ER -