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An integrative approach to advanced kidney disease in the elderly
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  • Michael Germain, MD, Baystate Health
  • Lewis Cohen, MD, Baystate Health
Document Type
Article, Peer-reviewed
Publication Date
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.
Publication ISSN
Citation Information
Schell JO, Germain MJ, Finkelstein FO, Tulsky JA, Cohen LM. An integrative approach to advanced kidney disease in the elderly Adv Chronic Kidney Dis. 2010 Jul;17(4):368-77.