#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Haemodialysis treatment of elderly patients with renal failure - current state of affairs and future prospects


Authors: S. Dusilová Sulková;  M. Ságová
Authors‘ workplace: Hemodialyzační středisko FN Hradec Králové 1;  Katedra interních oborů LF UK Hradec Králové 2;  Fresenius Medical Care – DS, Praha 3
Published in: Geriatrie a Gerontologie 2013, 2, č. 2: 79-84
Category: Review Article

Overview

The increasing number of elderly patients undergoing dialysis brings about certain specifics. This article is focused on the main problems we are facing at dialysis centres, treating patients with chronic renal failure. 24% of haemodialysis patients are older than 75 years. Besides the routine assessment of dialysis treatment, the patients‘ functional status as well as other specific conditions of elderly patients – such as cardiovascular status or cognitive dysfunctions - must be taken into account when deciding about the therapeutic method to be used. Modifications of dialysis therapy as well as the therapeutic outcome in dialysis patients are also discussed.

Keywords:
haemodialysis – kidney failure in elderly – functional status – cognitive functions


Sources

1. Brown EA, Johansson L: Epidemiology and management of endstage renal disease in the elderly. Nat Rev Nephrol 2011; doi: 10.1038/nrneph2011.113.

2. Blagg CR: The early history of dialysis for chronic renal failure in the United States: A view from Seattle. Am J Kidney Dis 2007; 49: 482–496.

3. www.nefrol.cz

4. Sulková S a kol.: Hemodialýza. Praha, Maxdorf Jessenius 2000. Monografie.

5. Dusilová Sulková S: Možnosti a limity dialýzy. Postgrad Med 2006; 8: 8–13.

6. www.usrds.org

7. Kurella Tamura M, Covinsky KE, Chertow GM et al.: Functional Status of earderly adults before and after initiation of dialysis. N Engl J Med 2009; 361: 1539–1547.

8. Wiggins J: Geriatrics. Core Curriculum Nephrology. Am J Kidney Dis 2005; 46: 147–158.

9. Berger JR, Hedayati SS: Renal replacement therapy in the elderly population. Clin J Am Soc Nephrol 2012; 7: 1039–1042.

10. Fried LF, Lee JS, Shlipak M et al.: Chronic kidney disease and functional limitation in older people: health, aging and body composition study. J Am Geriatr Soc 2006, 54: 750–756.

11. Drew DA, Bhadelia R, Tighiouart H: Anatomic brain disease in hemodialysis patients: a cross-sectional study. Am J Kidney Dis 2013; 61: 271–278.

12. End-stage renal disease and dialysis. Mehrotra R, Agarwal R (eds). NephSAP (Nephrology Self-Assessment Program). 2008; 7: 374–442.

13. Cook WL, Tomlinson G, Donaldson M et al.: Falls and fall-related induries in older dialysis patients. Clin J Am Soc Nephrol 2006; 1: 1197–1204.

14. Schmitt R, Coca S, Kanbay M et al.: Recovery of kidney function after acute kidney injury in the elderly: a systematic review and meta-analysis. Am J Kidney Dis 2008; 52: 262–271.

15. Verdalles U, Abad S, Aragoncillo I et al.: Factors predicting mortality in elderly patients on dialysis. Nephron Clin Pract 2010; 115: c28–c34.

16. Couchoud C, Labeeuw M, Moranne O et al.: (French Renal Epidemiology and Information Network /REIN/ registr): A clinical score to predict 6-month prognosis in elderly patients starting dialysis for end-stage renal disease. Nephrol Dial Transplant 2009; 24: 1553–1561.

17. Latos DL: Hemodialysis in the elderly: vascular access and initiation of renal replacement therapy. Semin Dial 2002; 15: 91–93.

18. Buemi M, Lacquaniti A, Bolignano D et al.: Dialysis and the elderly: an underestimated problem. Kidney Blood Press Res 2008; 31: 330–336.

19. Tattersall J, Dekker F, Heimburger O, Jager K, Lameire N: When to start dialysis: updated guidance following publication of the Initiating Dialysis Early and Late (IDEAL) Study. Nephrol Dial Transplant 2011; doi: 10:1093/ndt/gfr168.

20. Joly D, Anglicheau D, Alberti C et al.: Octogenarians reaching end-stage renal disease: cohort study of decision-making and clinical outcomes. J Am Soc Nephrol 2003; 14: 1012-1021

21. Kurella Tamura M: Incidence, management and outcomes of end-stage renal disease in the elderly. Curr Opin Nephrol Hypertens 2009; 18: 252–257.

22. Ságová M: Dokument americké asociace lékařů (Renal Physicians Association) k problematice společného rozhodování o nezařazení/vyřazení z/do dialyzační léčby, Aktuality v nefrologii 2011; 17: 150–152.

Labels
Geriatrics General practitioner for adults Orthopaedic prosthetics
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#