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Adv Chronic Kidney Dis. 2010 Jul;17(4):368-77. doi: 10.1053/j.ackd.2010.03.004.

An integrative approach to advanced kidney disease in the elderly.

Author information

1
Department of Medicine, Duke University Medical Center, Durham, NC 27705-3860, USA. jane.schell@duke.edu <jane.schell@duke.edu>

Abstract

Chronic kidney disease (CKD) has increasingly become a "geriatric" disease, with a dramatic rise in incidence in the aging population. Patients aged >75 years have become the fastest growing population initiating dialysis. These patients have increased comorbid diseases and functional limitations which affect mortality and quality of life. This review describes the challenges of dialysis initiation and considerations for management of the elderly subpopulation. There is a need for an integrative approach to care, which addresses management issues, health-related quality of life, and timely discussion of goals of care and end-of-life issues. This comprehensive approach to patient care involves the integration of nephrology, geriatric, and palliative medicine practices.

PMID:
20610364
PMCID:
PMC4466119
DOI:
10.1053/j.ackd.2010.03.004
[Indexed for MEDLINE]
Free PMC Article

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