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Age and treatment of kidney failure

Meghan J Elliott1, Helen Tam-Tham, Brenda R Hemmelgarn

  • 1aDepartment of Medicine bDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.

Current Opinion in Nephrology and Hypertension
|March 5, 2013
PubMed
Abstract

Insights

Kidney failure is common in older adults. Treatment decisions for kidney failure should prioritize patient preferences and symptoms through shared decision-making.

Area of Science:

  • Geriatrics
  • Nephrology
  • Public Health

Background:

  • Chronic kidney disease (CKD) and kidney failure are prevalent in older adults.
  • Significant variability exists in treatment practices for advanced kidney disease in this demographic.

Purpose of the Study:

  • To review issues concerning the treatment of chronic kidney disease and kidney failure in older adults.
  • To highlight challenges in treatment decision-making and care for elderly patients with kidney failure.

Main Methods:

  • This is a review article, synthesizing existing literature and evidence.
  • Analysis of treatment practices, patient outcomes, and decision-making processes for older adults with kidney failure.

Main Results:

  • Older adults with CKD frequently progress to kidney failure, experiencing poor survival and functional decline on dialysis.
  • Dialysis initiation in older adults may occur without adequate patient preparation or alignment with their overall treatment goals.
  • Lack of clear communication and underdeveloped conservative care programs contribute to suboptimal treatment decisions.

Conclusions:

  • Kidney failure is a significant concern for the aging population.
  • Treatment for kidney failure in older adults necessitates a patient-centered approach, incorporating priorities, preferences, and symptoms.
  • Shared decision-making between patients and healthcare providers is crucial for effective kidney failure management in the elderly.

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