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[Kidney diseases in elderly patients]

Dirk Bareiss1, Michael Dickenmann1, Felix Burkhalter1

  • 1Transplantationsimmunologie und Nephrologie, Universitätsspital Basel.

Praxis
|December 11, 2014
PubMed

Insights

Chronic kidney disease (CKD) is more common in older adults due to increased risk factors like hypertension and diabetes. Early diagnosis and personalized treatment decisions are crucial for managing CKD progression in the elderly.

Area of Science:

  • Nephrology
  • Geriatrics
  • Internal Medicine

Context:

  • Chronic kidney disease (CKD) prevalence significantly rises with aging.
  • Hypertension, diabetes, and obesity are key risk factors contributing to CKD in older populations.
  • Physiological kidney aging leads to functional impairments and increased susceptibility to electrolyte disorders and perfusion deficits.

Purpose:

  • To highlight the importance of early CKD diagnosis in the elderly.
  • To emphasize the role of aging kidneys and associated risk factors in CKD development.
  • To guide treatment decisions for end-stage renal disease (ESRD) in older patients.

Summary:

  • CKD incidence escalates with age, driven by comorbidities like hypertension and diabetes.
  • Kidney aging contributes to functional decline, electrolyte imbalances, and perfusion issues, often exacerbated by medications.
  • Treatment decisions for ESRD in the elderly should prioritize patient preferences, comorbidities, and quality of life over chronological age.

Impact:

  • Facilitates timely intervention to slow CKD progression in geriatric populations.
  • Informs healthcare providers about age-related renal changes and risk factors.
  • Promotes individualized care plans for elderly CKD patients, ensuring better quality of life and treatment outcomes.

Keywords:
CKDNierenalterungNierenersatzverfahren im Alteraffection rénale chroniquefacteurs de risqueinsuffisance rénale chroniquerenal replacement in the elderlythe aging kidneythérapie de remplacement rénalvieillissement

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