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[Chronic kidney failure in the elderly].

C Michel1, C Albert, B Viron

  • 1Service de néphrologie, hôpital Tenon, Paris.

La Revue Du Praticien
|February 15, 1992
PubMed
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Kidney function declines with age, often without symptoms. Early detection and tailored treatments for elderly patients with chronic kidney disease can prevent severe outcomes like end-stage renal failure.

Area of Science:

  • Nephrology
  • Geriatrics
  • Internal Medicine

Context:

  • Aging is associated with a decline in kidney function.
  • Renal impairment in the elderly is often asymptomatic due to maintained homeostasis.
  • Physicians must consider age-related risks in diagnostic and therapeutic approaches for older adults with chronic kidney disease.

Purpose:

  • To highlight the unique diagnostic and therapeutic considerations for chronic kidney disease in the elderly.
  • To emphasize the importance of detecting and managing renal insufficiency in older patients.
  • To discuss the effectiveness of interventions in preventing end-stage renal failure.

Summary:

  • Kidney function naturally declines with age, but significant impairment may be asymptomatic.

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  • Specialized diagnostic and therapeutic strategies are required for elderly patients with chronic kidney disease due to age-related risks.
  • Interventions can be effective in preventing the progression to end-stage renal failure, with recent advances in dialysis programs for very elderly patients.

    • Impact:

    • Improved management of chronic kidney disease in the aging population.
    • Potential to prevent or delay end-stage renal failure in elderly individuals.
    • Encouraging results from iterative dialysis programs for elderly patients with end-stage renal failure, despite ongoing medical and organizational challenges.