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Frailty Screening in Chronic Kidney Disease: Current Perspectives
George Worthen1, Karthik Tennankore2
1Department of Medicine, Nova Scotia Health Authority, Halifax, NS, Canada.
International Journal of Nephrology and Renovascular Disease
|December 12, 2019
Summary
Frailty screening in chronic kidney disease (CKD) is crucial. Implementing frailty assessment in nephrology care can improve patient outcomes and guide treatment decisions for vulnerable individuals.
Area of Science:
- Nephrology
- Geriatrics
- Internal Medicine
Background:
- Frailty, a state of increased vulnerability due to deficit accumulation, is prevalent in chronic kidney disease (CKD) patients.
- CKD patients face higher risks of frailty, which is linked to adverse outcomes.
- Current CKD management may offer reduced benefits or increased harm in frail individuals.
Purpose of the Study:
- To emphasize the importance of frailty screening in CKD.
- To review outcomes associated with frailty in CKD.
- To explore modifications in CKD management for frail patients and propose an implementation framework for frailty screening in routine nephrology care.
Main Methods:
- Literature review focusing on frailty in CKD.
- Analysis of outcomes linked to frailty in the CKD population.
- Exploration of proposed interventions and management changes for frail CKD patients.
Main Results:
- Frailty is associated with poorer outcomes in CKD patients.
- Standard CKD treatments may be less effective or harmful in frail individuals.
- Various interventions to modify frailty in CKD have been suggested.
Conclusions:
- Frailty screening is valuable in CKD management.
- Optimal frailty screening methods in kidney disease require further clarification.
- A framework for integrating frailty screening into standard nephrology practice is proposed.
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