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[The patient with chronic renal failure].
Theodora Schammann1, Ralf Schindler
1Abt. Nephrologie und Internistische Intensivmedizin, Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin.
Medizinische Monatsschrift Fur Pharmazeuten
|December 6, 2008
Summary
Reduced renal function impacts many, especially the elderly, often due to diabetes and hypertension. Understanding kidney function is crucial for managing chronic kidney disease and medication, particularly for pharmacists.
Area of Science:
- Nephrology
- Geriatrics
- Pharmacology
Context:
- Reduced renal function prevalence is underestimated, with limited data on less severe stages.
- The elderly population exhibits high rates of dialysis patients, linked to prevalent conditions like type II diabetes and hypertension.
- Chronic kidney disease (CKD) management involves addressing metabolic imbalances, anemia, and hypertension before end-stage renal disease.
Purpose:
- To highlight the significance of reduced renal function, particularly in the elderly.
- To underscore the importance of understanding kidney function for effective pharmacological management.
- To emphasize the need for more data on the prevalence of varying stages of renal failure.
Summary:
- While 66,000 dialysis patients exist in Germany, milder forms of renal failure are less documented.
- Type II diabetes and hypertension are major contributors to renal failure in older adults.
- Treatment for end-stage renal disease includes dialysis and transplantation, with pre-dialysis care focusing on managing complications.
Impact:
- Increased awareness of renal function's importance for pharmacists in drug management.
- Highlights the growing burden of kidney disease in aging populations.
- Stresses the need for comprehensive data on renal function across all patient groups.
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