Survival of elderly patients with stage 5 CKD: comparison of conservative management and renal replacement therapy
Shahid M. Chandna,Maria Da Silva-Gane,Catherine Marshall,Paul Warwicker,Roger Greenwood,Ken Farrington +5 more
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In patients aged > 75 years with high extra-renal comorbidity, the survival advantage conferred by RRT over CM is likely to be small and age >75 years and female gender independently predicted better survival.Abstract:
© The Author 2010. Published by Oxford University Press on behalf of the ERA-EDTA. All rights reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly citedread more
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A comparison of treatment options for management of end stage kidney disease in elderly patients : a systematic review
TL;DR: This review assessed the effect of dialysis compared with non‐dialysis management for the population of 65 years and over with ESKD and considered descriptive epidemiological study designs including case series, individual case reports and descriptive cross sectional studies for inclusion.
Journal ArticleDOI
Factors Associated With Withdrawal From Dialysis Therapy in Incident Hemodialysis Patients Aged 80 Years or Older.
Gang Jee Ko,Yoshitsugu Obi,Tae Ik Chang,Melissa Soohoo,Rieko Eriguchi,Soo Jeong Choi,Daniel L. Gillen,Csaba P. Kovesdy,Elani Streja,Kamyar Kalantar-Zadeh,Kamyar Kalantar-Zadeh,Kamyar Kalantar-Zadeh,Connie M. Rhee +12 more
TL;DR: Among very-elderly incident hemodialysis patients, Dialysis therapy withdrawal exhibits wide variations across age, race and ethnicity, regions, cognitive status, dialysis vascular access, and nutritional status.
Journal ArticleDOI
Tough Choices: Dialysis, Palliative Care, or a Third Option for Elderly ESRD
TL;DR: With active medical management, efforts shift from prolonging life to emphasis on symptom control, dietary and medical treatment, and quality of life, and patient survival time can be remarkably long.
Journal ArticleDOI
The strange case of Mr. H. Starting dialysis at 90 years of age: clinical choices impact on ethical decisions
TL;DR: An individualized approach to complex decisions such as dialysis start can alter the delicate benefit/side-effect balance, ultimately affecting the patient’s choice, and points to a narrative, tailor-made approach as an alternative to therapeutic nihilism, in very old and fragile patients.
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Exploring access to end of life care for ethnic minorities with end stage kidney disease through recruitment in action research.
Emma Wilkinson,Gurch Randhawa,Edwina A. Brown,Maria Da Silva Gane,John Stoves,Graham Warwick,Tahira Akhtar,Regina Magee,Sue Sharman,Ken Farrington +9 more
TL;DR: Issues relating to the process of recruitment of patients for a research project which contribute to the understanding of access to end of life care for ethnic minority patients in the kidney setting are explored.
References
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Journal ArticleDOI
Functional Status of Elderly Adults before and after Initiation of Dialysis
Manjula Kurella Tamura,Kenneth E. Covinsky,Glenn M. Chertow,Kristine Yaffe,C. Seth Landefeld,Charles E. McCulloch +5 more
TL;DR: The initiation of dialysis is associated with a substantial and sustained decline in functional status among nursing home residents with ESRD, and this decline was independent of age, sex, race, and functional-status trajectory before the initiation ofdialysis.
Journal ArticleDOI
Gender differences in insulin resistance, body composition, and energy balance.
Eliza B. Geer,Wei Shen +1 more
TL;DR: Greater amounts of visceral and hepatic adipose tissue, in conjunction with the lack of a possible protective effect of estrogen, may be related to higher insulin resistance in men compared with women.
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Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5
Fliss E M Murtagh,James E. Marsh,Paul Donohoe,Nasirul J. Ekbal,Neil S. Sheerin,Fiona E. Harris +5 more
TL;DR: In CKD stage 5 patients over 75 years, who receive specialist nephrological care early, and who follow a planned management pathway, the survival advantage of dialysis is substantially reduced by comorbidity and ischaemic heart disease in particular.
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Is Maximum Conservative Management an Equivalent Treatment Option to Dialysis for Elderly Patients with Significant Comorbid Disease
TL;DR: Dialysis prolongs survival for elderly patients who have ESRD with significant comorbidity by approximately 2 yr; however, patients who choose MCM can survive a substantial length of time, achieving similar numbers of hospital-free days to patients who choice hemodialysis.
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Octogenarians Reaching End-Stage Renal Disease: Cohort Study of Decision-Making and Clinical Outcomes
Dominique Joly,Dany Anglicheau,Corinne Alberti,Anh-Thu Nguyen,Malik Touam,Jean-Pierre Grünfeld,Paul Jungers +6 more
TL;DR: It is concluded that beside a patient's individual refusal, late referral, social isolation, low functional capacity, and diabetes may have oriented medical decision toward withholding dialysis in a significant proportion of pre-ESRD octogenarians.