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Renal Replacement Therapy For Elderly Patients with ESKD Through Shared Decision-Making.
Jin Eop Kim1, Woo Yeong Park2, Hyunsuk Kim1
1Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Gangwond-do, Republic of Korea.
Electrolyte & Blood Pressure : E & BP
|July 12, 2023
Summary
End-stage kidney disease (ESKD) is rising in Korea, especially among the elderly. Addressing geriatric syndromes and using shared decision-making (SDM) can improve outcomes for older adults with ESKD.
Area of Science:
- Nephrology
- Geriatrics
- Public Health
Background:
- Increasing incidence and prevalence of end-stage kidney disease (ESKD) in Korea.
- Elderly dialysis patients face high early mortality risk (within 3 months).
- Geriatric syndromes significantly impact prognosis in elderly ESKD patients.
Purpose of the Study:
- To highlight the importance of shared decision-making (SDM) for elderly ESKD patients.
- To emphasize the need for tailored ESKD Life-Plans for older adults.
- To identify key factors influencing mortality and quality of life in elderly dialysis patients.
Main Methods:
- Review of current strategies for managing elderly patients with ESKD.
- Discussion of shared decision-making (SDM) principles in clinical practice.
- Exploration of multidisciplinary approaches, including vascular access, peritoneal dialysis, and kidney transplantation.
Main Results:
- Shared decision-making (SDM) promotes informed preferences and better clinical outcomes.
- Multidisciplinary care ensures appropriate and timely interventions for elderly ESKD patients.
- Enhanced peritoneal dialysis strategies and optimized kidney transplantation protocols are crucial.
Conclusions:
- Developing ESKD Life-Plans through SDM is vital for elderly patients.
- Addressing geriatric syndromes and optimizing dialysis and transplantation are key to improving survival and quality of life.
- Clinicians must identify and manage factors affecting elderly dialysis patients' outcomes.
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