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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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Shared decision-making in advanced chronic kidney disease in the elderly
Manuel Heras Benito1, María José Fernández-Reyes Luis1
1Servicio de Nefrología, Hospital General de Segovia, Segovia, España.
Medicina Clinica
|October 22, 2018
Summary
Managing chronic kidney disease in older adults involves complex decisions. This review guides healthcare providers on dialysis treatment options and timing for elderly patients with kidney failure.
Area of Science:
- Nephrology
- Geriatrics
- Internal Medicine
Background:
- Chronic kidney disease (CKD) disproportionately affects individuals over 65.
- Advancements in dialysis have extended its application to all age groups with end-stage nephropathy.
- Managing elderly CKD patients requires consideration of renal function, comorbidities, and geriatric syndromes.
Purpose of the Study:
- To review the management of information for elderly CKD patients.
- To discuss decision-making processes for various dialysis treatment modalities.
- To address the timing of dialysis initiation and withdrawal in this population.
Main Methods:
- Literature review focusing on geriatric nephrology and dialysis management.
- Synthesis of current guidelines and clinical evidence.
- Analysis of factors influencing treatment decisions in elderly patients.
Main Results:
- Decision-making for dialysis in the elderly is multifaceted, integrating clinical data with patient-specific factors.
- Comprehensive assessment including comorbidities and geriatric syndromes is crucial.
- Individualized treatment plans are essential for optimizing outcomes.
Conclusions:
- Effective management of advanced CKD in the elderly necessitates a holistic approach.
- Informed decision-making regarding dialysis initiation, continuation, or withdrawal is paramount.
- This review provides a framework for optimizing care for older adults with kidney failure.
Keywords:
Advanced chronic kidney diseaseAncianosElderlyEnfermedad renal crónica avanzadaRenal conservative treatmentRenal replacement therapyShared-decision-makingToma de decisiones compartidaTratamiento conservador renalTratamiento renal sustitutivoMore Related Videos
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