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Prevention of renal disease and conservation of renal function

G E Schreiner1

  • 1Department of Medicine, Georgetown University School of Medicine, Washington, DC 20007.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|October 1, 1990
PubMed

Insights

Preventing kidney failure in older adults requires understanding age-related kidney changes. Key areas include managing obstruction, hypertension, and drug interactions to reduce mortality, morbidity, and costs.

Area of Science:

  • Nephrology
  • Geriatric Medicine
  • Pharmacology

Background:

  • Aging kidneys exhibit altered physiology, increasing vulnerability to failure.
  • Common causes of renal failure in the elderly include obstruction, hypertension, and drug-related issues.
  • Renal carcinoma is a significant, often undetected, threat in elderly populations.

Purpose of the Study:

  • To review frequently encountered areas of renal failure prevention in the elderly.
  • To emphasize the importance of understanding the aging kidney's physiology.
  • To highlight the need for early diagnosis and appropriate therapeutic guidelines.

Main Methods:

  • Literature review of common causes of renal failure in the elderly.
  • Analysis of physiological changes in aging kidneys.
  • Discussion of preventive strategies and therapeutic guidelines.

Main Results:

  • Identified key areas for prevention: obstruction, hypertension, drug interactions, and renal carcinoma.
  • Stressed that understanding altered kidney physiology is crucial for physicians.
  • Early diagnosis and adherence to guidelines can significantly reduce adverse outcomes.

Conclusions:

  • Physicians must comprehend the aging kidney's physiology to prevent errors.
  • Effective prevention strategies involve early diagnosis and guideline-based therapy.
  • Implementing these measures can substantially decrease mortality, morbidity, and healthcare costs.

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