| Literature DB >> 20610364 |
Jane O Schell1, Michael J Germain, Fred O Finkelstein, James A Tulsky, Lewis M Cohen.
Abstract
Chronic kidney disease (CKD) has increasingly become a "geriatric" disease, with a dramatic rise in incidence in the aging population. Patients aged >75 years have become the fastest growing population initiating dialysis. These patients have increased comorbid diseases and functional limitations which affect mortality and quality of life. This review describes the challenges of dialysis initiation and considerations for management of the elderly subpopulation. There is a need for an integrative approach to care, which addresses management issues, health-related quality of life, and timely discussion of goals of care and end-of-life issues. This comprehensive approach to patient care involves the integration of nephrology, geriatric, and palliative medicine practices. 2010 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.Entities:
Mesh：
Year: 2010 PMID： 20610364 PMCID： PMC4466119 DOI： 10.1053/j.ackd.2010.03.004
Source DB: PubMed Journal: Adv Chronic Kidney Dis ISSN： 1548-5595 Impact factor: 3.620