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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TLDR
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
Citations
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Journal ArticleDOI
Challenges to Shared Decision Making About Treatment of Advanced CKD: A Qualitative Study of Patients and Clinicians
Taylor R. House,Taylor R. House +1 more
TL;DR: In this article , the authors conducted interviews with patients with advanced chronic kidney disease (CKD) and their clinicians to understand the challenges to shared decision making about treatment of advanced CKD and to support implementation of shared decision-making in clinical practice.
Journal ArticleDOI
The Provider’s Role in Conservative Care and Advance Care Planning for Patients with ESRD
TL;DR: Conservative care (CC), also known as conservative management, is being gradually recognized as a viable therapeutic alternative for patients with advanced CKD in the United States.
Journal ArticleDOI
Toma de decisiones compartida en la enfermedad renal crónica avanzada del anciano
TL;DR: This review addresses the management of information, the decision making of different treatment modalities that can be offered to elderly patients with advanced chronic kidney disease, and the time of initiation and/or withdrawal of dialysis.
Journal ArticleDOI
A Description of Advanced Chronic Kidney Disease Patients in a Major Urban Center Receiving Conservative Care.
TL;DR: It was found that individuals who chose conservative care were very old and did not have high levels of comorbidity, and few individuals who choose conservative care changed modality and accepted dialysis.
Dissertation
A cross-sectional, correlational survey to explore the relationship between Renal Association biochemical and haematological markers and health-related quality of life in patients receiving haemodialysis in the North West of England.
TL;DR: The study's findings demonstrate little association between achievement of Renal Association biochemical/haematological targets and HRQoL, suggesting a more holistic approach is required to address other aspects of physical and psychological health.
References
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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.
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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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.