Next Article in Journal
Targeting Cellular Trafficking of Fibroblast Growth Factor Receptors as a Strategy for Selective Cancer Treatment
Previous Article in Journal
Improving Uptake of Postnatal Checking of Blood Glucose in Women Who Had Gestational Diabetes Mellitus in Universal Healthcare Settings: A Systematic Review
Open AccessReview

Decision-Making in Geriatric Patients with End-Stage Renal Disease: Thinking Beyond Nephrology

1
OSF Saint Anthony Medical Center, 5666 E State St, Rockford, IL 61108, USA
2
Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA
3
Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd, Houston, TX 77030, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(1), 5; https://doi.org/10.3390/jcm8010005
Received: 21 November 2018 / Revised: 8 December 2018 / Accepted: 15 December 2018 / Published: 20 December 2018
(This article belongs to the Section Nephrology & Urology)
  |  
PDF [196 KB, uploaded 20 December 2018]

Abstract

Compared to younger individuals, the prevalence of end-stage renal disease (ESRD) in elders is notably higher. While renal replacement therapy, usually with hemodialysis, is accepted therapy in younger patients with ESRD, decisions regarding the treatment of advanced kidney disease in the elderly population are more complex, secondary to the physiologic changes of aging, concurrent geriatric syndromes, and varying goals of care. Evaluation for possible initiation of dialysis in geriatric patients should be multidisciplinary in nature and patient-focused, including a consideration of physical, cognitive, and social function. If renal replacement therapy is not pursued, optimization of medical management or symptom management needs to be the goal of care. View Full-Text
Keywords: dialysis; palliative; older adults; transplantation dialysis; palliative; older adults; transplantation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Ahmed, F.A.; Catic, A.G. Decision-Making in Geriatric Patients with End-Stage Renal Disease: Thinking Beyond Nephrology. J. Clin. Med. 2019, 8, 5.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
J. Clin. Med. EISSN 2077-0383 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top