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Preferred strategy for dialysis in older adults

  • ZHAO Wei-Hong ,
  • WEI Lu
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  • Division of Nephrology, Department of Geriatric, the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province Hospital, Nanjing210029, China 

Received date: 2022-04-11

  Revised date: 2022-07-20

  Online published: 2022-10-12

Abstract

aging is a growing public health problem. The number of older adults with end stage renal disease (ESRD) is rising dramatically. Epidemiological surveys in China found that the fastest growing number of dialysis patients are the elderly. Older adults with ESRD face not only the threat of deteriorating kidney function, but also the effects of aging, frailty, and comorbidities. This review discussed the issues related to dialysis in older adults, including assessing whether elderly ESRD patients are suitable for dialysis, whether dialysis meet the overall goals of patients, frailty and cognitive impairment in older dialysis patients, the choice of dialysis methods in older adults, and the decision points of dialysis vascular access.

Cite this article

ZHAO Wei-Hong , WEI Lu . Preferred strategy for dialysis in older adults[J]. Chinese Journal of Blood Purification, 2022 , 21(10) : 709 -712 . DOI: 10.3969/j.issn.1671-4091.2022.10.002

References

[1]Liabeuf S, Sajjad A, Kramer A, Bieber B, McCullough K, Pisoni R, Caskey F, Combe C, Robinson BM, Jager KJ, Massy ZA.Guideline attainment and morbiditymortality rates in a large cohort of European haemodialysis patients (EURODOPPS)[J].Nephrol Dial Transplant, 2019, 34(12):2105-2110 [2]Zhao Y, Pei X, Zhao W.Timing of Dialysis Initiation and Mortality Risk in Chronic Kidney Disease: A Meta-Analysis[J].Ther Apher Dial, 2018, 22(6):600-608 [3]安娜, 李洪.海南省~年新增维持性血液透析患者的流行病学分析[J].中国血液净化, 2015, 14(10):626-629 [4]US Renal Data System.USRDS 2013 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of health, Bethesda, MD, National Institute of Diabetes and Digestive and Kidney Diseases[J]., 2013, :- [5]Verberne WR, Geers AB, Jellema WT, Vincent HH, van Delden JJ, Bos WJ.Comparative Survival among Older Adults with Advanced Kidney Disease Managed Conservatively Versus with Dialysis[J].Clin J Am Soc Nephrol, 2016, 11(4):633-40 [6]Tam-Tham H, Thomas CM.Does the Evidence Support Conservative Management as an Alternative to Dialysis for Older Patients with Advanced Kidney Disease? [J] , 2016, 11(4):552-4.[J].Clin J Am Soc Nephrol, 2016, 11(4):552-554 [7]Jassal SV, Karaboyas A, Comment LA, Bieber BA, Morgenstern H, Sen A, Gillespie BW, De Sequera P, Marshall MR, Fukuhara S, Robinson BM, Pisoni RL, Tentori F.Functional Dependence and Mortality in the International Dialysis Outcomes and Practice Patterns Study (DOPPS)[J].Am J Kidney Dis, 2016, 67(2):283-92 [8]Eknoyan G, Beck GJ, Cheung AK, Daugirdas JT, Greene T, Kusek JW, Allon M, Bailey J, Delmez JA, Depner TA, Dwyer JT, Levey AS, Levin NW, Milford E, Ornt DB, Rocco MV, Schulman G, Schwab SJ, Teehan BP, Toto R, Hemodialysis HEMO Study Group.Effect of dialysis dose and membrane flux in maintenance hemodialysis[J].N Engl J Med, 2002, 347(25):2010-9 [9]O' Hare AM, Choi AI, Bertenthal D, Bacchetti P, Garg AX, Kaufman JS, Walter LC, Mehta KM, Steinman MA, Allon M, McClellan WM, Landefeld CS.Age affects outcomes in chronic kidney disease[J].J Am Soc Nephrol, 2007, 18(10):2758-65 [10]Vachharajani TJ, Moossavi S, Jordan JR, Vachharajani V, Freedman BI, Burkart JM.Re-evaluating the Fistula First Initiative in Octogenarians on Hemodialysis[J].Clin J Am Soc Nephrol, 2011, 6(7):1663-7 [11]Farrington K, Covic A, Aucella F, et al.ERBP guideline development groupClinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher (eGFR 45 mLmin1.73m2)[J].Nephrol Dial Transplant, 2016, 31(suppl 2):i-i1 [12]Viecelli AK, Lok CE.Hemodialysis vascular access in the elderly-getting it right[J].Kidney Int, 2019, 95(1):38-49 [13]中华医学会老年医学分会肾病学组, 国家老年疾病临床医学研究中心.老年慢性肾脏病诊治的中国专家共识[J].中华老年病研究电子杂志, 2018, 5(3):1-8 [14]Johansen KL, Delgado C, Bao Y, Kurella Tamura M.Frailty and dialysis initiation[J].Semin Dial, 2013, 26(6):690-6 [15]Chan CT, Blankestijn PJ, Dember LM, Gallieni M, Harris DCH, Lok CE, Mehrotra R, Stevens PE, Wang AY, Cheung M, Wheeler DC, Winkelmayer WC, Pollock CA, Conference Participants.Dialysis initiation,modality choice,access,and prescription: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference[J].Kidney Int, 2019, 96(1):37-47 [16]Nitta K, Hanafusa N, Tsuchiya K.Role of Frailty on Outcomes of Dialysis Patients[J].Contrib Nephrol, 2018, 195:102-109 [17]Pei X, Lai S, He X, Masembe NP, Yuan H, Yong Z, Zhu B, Wu J, Zhao W.Mild cognitive impairment in maintenance hemodialysis patients: a cross-sectional survey and cohort study[J].Clin Interv Aging, 2018, 14:27-32 [18]Neumann D, Mau W, Wienke A, Girndt M.Peritoneal dialysis is associated with better cognitive function than hemodialysis over a one-year course[J].Kidney Int, 2018, 93(2):430-438 [19]Kurella Tamura M, Unruh ML, Nissenson AR, Larive B, Eggers PW, Gassman J, Mehta RL, Kliger AS, Stokes JB, Frequent Hemodialysis Network FHN Trial Group.Effect of more frequent hemodialysis on cognitive function in the frequent hemodialysis network trials[J].Am J Kidney Dis, 2013, 61(2):228-37 [20]United States Renal Data System.USRDS Annual Data Report: Epidemiology of kidney disease in the United States.National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases[J]., 2021, :- [21]Segall L, Nistor I, Van Biesen W, Brown EA, Heaf JG, Lindley E, Farrington K, Covic A.Dialysis modality choice in elderly patients with end-stage renal disease: a narrative review of the available evidence[J].Nephrol Dial Transplant, 2017, 32(1):41-49 [22]Doucet BP, Cho Y, Campbell SB, Johnson DW, Hawley CM, Teixeira-Pinto ARM, Isbel NM.Kidney Transplant Outcomes in elderly Recipients: An Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry Study[J].Transplant Proc, 2021, 53(6):1915-1926 [23]Deng F, Di W, Ma Y, Li Y, Liao T, Mou J, Hong D, Wang W, Chen J, Jiang P, Li G, Mao J, Feng J.The relationship between prescription of ultrafiltration and intradialytic hypotension in Chinese hemodialysis patients[J].Ann Palliat Med, 2021, 10(5):5316-5321 [24]Sohn P, Narasaki Y, Rhee CM.Intradialytic hypotension: is timing everything? [J] , 2021, 99(6):1269-1272.[J].Kidney Int, 2021, 99(6):1269-1272 [25]Halinski C, Koncicki HM.Planning and evaluation for vascular access in the elderly[J].Semin Dial, 2018, 31(4):362-366 [26]Pang SC, Tan RY, Kwek JL, Lee KG, Foo MWY, Choong LHL, Chong TT, Tan CS.Current state of vascular access in Singapore[J].J Vasc Access, 2020, 21(5):582-588
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