End-Stage Renal Disease in the Elderly: Dialysis or Conservative Management?
| العنوان: | End-Stage Renal Disease in the Elderly: Dialysis or Conservative Management? |
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| المؤلفون: | Jean Lake Holley, Emaad M. Abdel-Rahman |
| المصدر: | Hospital Practice. 38:122-127 |
| بيانات النشر: | Informa UK Limited, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Nephrology, medicine.medical_specialty, Palliative care, medicine.medical_treatment, Population, End stage renal disease, Quality of life (healthcare), Renal Dialysis, Internal medicine, medicine, Humans, Intensive care medicine, education, Dialysis, Aged, Aged, 80 and over, education.field_of_study, business.industry, Palliative Care, General Medicine, medicine.disease, humanities, Quality of Life, Kidney Failure, Chronic, Hemodialysis, business, Kidney disease |
| الوصف: | The challenges of health care in an aging population are mirrored in the field of nephrology, in which an increasing proportion of the population has chronic kidney disease (CKD) and end-stage renal disease requiring dialysis. The need for dialysis negatively influences survival and health-related quality of life (HRQoL) in all age groups, but particularly in the elderly, raising the issue of withholding dialysis and emphasizing conservative management of CKD in some patients. Increased mortality is seen in dialysis patients who are elderly, have significant comorbidities, and have poor functional status. In such patients, the option of palliative care should be discussed in order to focus on HRQoL in the physical, psychological, and social domains. Although survival among the elderly who forgo dialysis is worse than those who begin dialysis, hospitalizations and HRQoL may be better, especially if the CKD-associated complications are appropriately addressed through effective palliative care. |
| تدمد: | 2377-1003 2154-8331 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ace866a7d7758295d8d8fad509a313ccTest https://doi.org/10.3810/hp.2010.06.305Test |
| رقم الانضمام: | edsair.doi.dedup.....ace866a7d7758295d8d8fad509a313cc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23771003 21548331 |
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