Shared decision-making in advanced chronic kidney disease in the elderly.

Toma de decisiones compartida en la enfermedad renal crónica avanzada del anciano.
Advanced chronic kidney disease Ancianos Elderly Enfermedad renal crónica avanzada Renal conservative treatment Renal replacement therapy Shared-decision-making Toma de decisiones compartida Tratamiento conservador renal Tratamiento renal sustitutivo

Journal

Medicina clinica
ISSN: 1578-8989
Titre abrégé: Med Clin (Barc)
Pays: Spain
ID NLM: 0376377

Informations de publication

Date de publication:
01 03 2019
Historique:
received: 12 06 2018
revised: 24 07 2018
accepted: 26 07 2018
pubmed: 22 10 2018
medline: 13 6 2020
entrez: 22 10 2018
Statut: ppublish

Résumé

Chronic kidney disease is common in people >65years of age. The development and improvement of dialysis techniques has allowed its generalisation to the entire population, when there is a situation of terminal nephropathy, without limit of use due to chronological age. Decision making in elderly patients with advanced chronic kidney disease is complex: in addition to renal parameters, both comorbidity and the presence of geriatric syndromes must be considered. This review addresses the management of information, the decision making of different treatment modalities that can be offered to these patients, and the time of initiation and/or withdrawal of dialysis.

Identifiants

pubmed: 30342770
pii: S0025-7753(18)30516-5
doi: 10.1016/j.medcli.2018.07.011
pii:
doi:

Types de publication

Journal Article Review

Langues

eng spa

Sous-ensembles de citation

IM

Pagination

188-194

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

Auteurs

Manuel Heras Benito (M)

Servicio de Nefrología, Hospital General de Segovia, Segovia, España. Electronic address: mherasb@saludcastillayleon.es.

María José Fernández-Reyes Luis (MJ)

Servicio de Nefrología, Hospital General de Segovia, Segovia, España.

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Classifications MeSH