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Chapter 26 - Kidney Disease

from Section III - Care of the Elderly by Organ System

Published online by Cambridge University Press:  30 June 2022

By
C. Barrett Bowling  and
Nicole DePasquale
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
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Summary

Kidney disease is common in older age and associated with adverse health outcomes. Guidelines recommend estimating GFR (eGFR) using a standardized estimating equation that includes age, race, gender, and serum creatinine. Management for chronic kidney disease (CKD) includes identification and management of underlying causes to slow the progression, recognition, and treatment of CKD-related complications, and preparation for renal replacement therapy prior to end-stage renal disease. Despite the high burden of CKD in older adults, the evidence underlying existing guidelines comes primarily from young and middle-aged adults and often does not take into account multimorbidity, geriatric conditions, and heterogeneity in life expectancy and health goals at older age. A person-centered approach to CKD that includes geriatric assessment, engages and supports family caregivers, and incorporates palliative care principles across the spectrum of kidney disease is appropriate for older adults.

Keywords

chronic kidney diseaseacute kidney injurykidney failureend-stage renal diseaseestimated glomerular filtration rateurinary albumin-to-creatinine ratio
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 324 - 334
Publisher: Cambridge University Press
Print publication year: 2022

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References

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