[Chronic kidney disease in the elderly patient]

Area of Science:

• Nephrology
• Geriatrics

Background:

• Chronic kidney disease (CKD) is a global health issue, particularly affecting the elderly.
• Approximately 50% of individuals over 75 meet CKD diagnostic criteria per KDIGO 2012 guidelines.
• General CKD guidelines may not fully address unique geriatric patient characteristics.

Purpose of the Study:

• To provide a comprehensive approach to CKD management in geriatric patients.
• To highlight the natural history, symptoms, and red flags specific to elderly individuals with CKD.
• To bridge the gap between general CKD guidelines and geriatric-specific needs.

Main Methods:

• Literature review focusing on CKD in the elderly population.
• Analysis of pathophysiology, diagnosis, and treatment strategies.
• Synthesis of current evidence and clinical practice guidelines.

Main Results:

• Geriatric CKD patients present unique challenges not fully covered by standard guidelines.
• Understanding disease progression, specific symptoms, and critical red flags is crucial.
• Tailored management strategies are necessary for optimal outcomes in elderly CKD patients.

Conclusions:

• A specialized approach is required for managing CKD in the geriatric population.
• Early recognition of disease-specific signs and symptoms improves patient care.
• This review offers a framework for addressing CKD in elderly individuals effectively.