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An overview of chronic kidney disease in older people

Robert Lewis1

  • 1Wessex Renal and Transplant Unit, Queen Alexandra Hospital, Portsmouth.

Nursing Older People
|November 29, 2013
PubMed

Insights

Diagnosing and managing early chronic kidney disease (CKD) in older adults lacks consensus. Advanced CKD poses significant risks, requiring careful management and caregiver input for optimal outcomes in elderly patients.

Area of Science:

  • Geriatrics
  • Nephrology
  • Public Health

Background:

  • Consensus is lacking on the diagnosis and management of early chronic kidney disease (CKD) in older populations.
  • Some view age-related renal function decline as benign, while others consider it a significant public health concern.
  • Current management guidelines do not reflect this uncertainty.

Purpose of the Study:

  • To highlight the controversies and challenges in diagnosing and managing early chronic kidney disease (CKD) in the elderly.
  • To emphasize the risks associated with advanced CKD in older individuals.
  • To underscore the need for informed medical management and caregiver involvement.

Main Methods:

  • Literature review on current guidelines and expert opinions regarding CKD in older adults.
  • Analysis of risks associated with acute kidney injury and advanced CKD in the elderly.
  • Discussion of treatment challenges and the role of caregivers in end-stage CKD management.

Main Results:

  • Significant disagreement exists regarding the clinical significance and management of early-stage CKD in older adults.
  • Advanced CKD presents substantial dangers to older individuals, increasing risks of acute kidney injury.
  • Treatment decisions for end-stage CKD in the elderly are complex and require specialized input.

Conclusions:

  • The management of chronic kidney disease (CKD) in older adults requires further clarification and consensus-building.
  • Older individuals with CKD, especially advanced stages, are vulnerable and require cautious medical care.
  • Optimizing outcomes for elderly patients with advanced CKD necessitates integrated care involving healthcare professionals and caregivers.

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