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Management of Elderly Patients with Chronic Kidney Disease

Yohan Park1, Won Min Hwang2

  • 1Division of Nephrology, Department of Internal Medicine, Konyang University Hospital, College of Medicine, Konyang University, Daejeon, Korea.

Yonsei Medical Journal
|February 2, 2025
PubMed

Insights

Managing chronic kidney disease (CKD) in elderly patients requires special attention to comorbidities and geriatric syndromes. A palliative approach and shared decision-making are crucial for optimal care in this growing population.

Area of Science:

  • Nephrology
  • Geriatrics

Background:

  • Chronic kidney disease (CKD) prevalence is rising globally among the aging population.
  • Elderly patients with CKD present unique challenges including comorbidities, frailty, and geriatric syndromes.

Purpose of the Study:

  • To review assessment and management strategies for CKD specifically in elderly patients.
  • To highlight considerations beyond standard CKD care for geriatric populations.

Main Methods:

  • Literature review focusing on geriatric considerations in CKD.
  • Discussion of management strategies including blood pressure, glycemic control, dyslipidemia, anemia, and electrolyte/acidosis management.
  • Exploration of conservative kidney management and end-stage kidney disease recommendations for elderly patients.

Main Results:

  • Elderly CKD patients require tailored management addressing comorbidities, polypharmacy, and nonpharmacological approaches.
  • Conservative kidney management and palliative care may be more appropriate than intensive treatments for some elderly patients.
  • Shared decision-making is vital for effective care in this demographic.

Conclusions:

  • CKD management in the elderly necessitates a holistic approach, integrating geriatric principles.
  • Palliative and conservative strategies, alongside shared decision-making, are essential for improving quality of life in elderly CKD patients.
  • The rapid aging in countries like Korea underscores the urgent need for specialized geriatric nephrology care.

Keywords:
Disease managementchronic kidney diseasefrail elderly

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