Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations? | Zendy

Lyle Walton | Zendy; Gregory D Shumer | Zendy; Björg Thorsteinsdottir | Zendy; Theodore T. Suh | Zendy; Keith M. Swetz | Zendy

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Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?

Author(s) -

Lyle Walton,

Gregory D Shumer,

Björg Thorsteinsdottir,

Theodore T. Suh,

Keith M. Swetz

Publication year - 2017

Publication title -

palliative care research and treatment

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.514

H-Index - 7

ISSN - 1178-2242

DOI - 10.1177/1178224217735083

Subject(s) - end stage renal disease , medicine , dialysis , intensive care medicine , disease , hemodialysis , population , stage (stratigraphy) , end stage kidney disease , gerontology , surgery , environmental health , paleontology , biology

As the US population continues to age, new cases of end-stage renal disease (ESRD) in individuals, aged 85 years or older (the oldest old), are increasing. Many patients who begin hemodialysis despite questionable benefit may struggle with high symptom burden and rapid functional decline. This article reviews the history regarding the funding and development of the Medicare ESRD program, reviews current approaches to the oldest old with ESRD, and considers strategies to improve the management approach of this vulnerable population.

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