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Renal replacement therapy in the elderly

R S Rodger1, J D Briggs

  • 1Renal Unit, Western Infirmary, Glasgow.

Scottish Medical Journal
|December 4, 1998
PubMed
Summary
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Elderly patients over 65 now increasingly start chronic dialysis, a significant rise from before 1980. This trend necessitates expanded renal services to meet the growing needs of older adults with chronic kidney disease.

Area of Science:

  • Nephrology
  • Geriatric Medicine

Background:

  • Chronic renal failure incidence is higher in older adults (>65 years).
  • Historically, few elderly patients initiated chronic dialysis before 1980.
  • The number of elderly patients starting renal replacement therapy has significantly increased since 1980.

Purpose of the Study:

  • To analyze the trend of elderly patients initiating chronic dialysis.
  • To highlight the increasing demand for renal services among older adults with chronic kidney disease.

Main Methods:

  • Analysis of data from the Scottish Renal Registry.
  • Examination of trends in dialysis initiation among patients aged 65 and above.

Main Results:

  • Elderly patients constituted 38% of new dialysis patients in Scotland in 1995.

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  • A marked increase in elderly patients starting renal replacement has been observed.
  • Renal services have expanded considerably to accommodate this demographic shift.

    • Conclusions:

    • The growing number of elderly patients requiring dialysis presents a significant challenge.
    • Continued expansion of renal services is predicted in Scotland until 2010 to meet demand.
    • This trend underscores the importance of geriatric nephrology and tailored renal care for older populations.