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Dialysis decisions and the elderly

A H Moss1

  • 1Center for Health Ethics and Law, Robert C. Byrd Health Sciences Center of West Virginia University, Morgantown.

Clinics in Geriatric Medicine
|August 1, 1994
PubMed
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Dialysis is increasingly common in elderly patients, despite initial exclusions. This review examines medical outcomes, resource allocation, and decision-making for dialysis in older adults.

Area of Science:

  • Nephrology
  • Geriatrics
  • Bioethics

Background:

  • Elderly patients were initially excluded from dialysis treatment.
  • The elderly population is now the fastest-growing segment of dialysis patients.
  • Medical advancements have made dialysis feasible for older adults.

Purpose of the Study:

  • To review key considerations for dialysis decisions in the elderly.
  • To analyze medical outcomes, age as a criterion, resource allocation, and ethical dilemmas.
  • To propose an approach for treatment decisions regarding renal failure in the elderly.

Main Methods:

  • Literature review of medical outcomes, ethical considerations, and resource allocation for elderly dialysis patients.
  • Analysis of age as a selection criterion for dialysis.

Related Experiment Videos

  • Discussion of withholding and withdrawing dialysis treatment.

    • Main Results:

    • Dialysis in the elderly presents complex challenges regarding medical outcomes and resource utilization.
    • Age alone is a controversial selection criterion for dialysis.
    • Ethical considerations surrounding withholding or withdrawing dialysis are significant.

    Conclusions:

    • Decisions regarding dialysis for elderly patients require careful consideration of multiple factors.
    • A balanced approach is needed to address the growing dialysis population among the elderly.
    • Further discussion on ethical frameworks for end-of-life renal care is warranted.