Quality of life in the elderly patients on dialysis

Apostolou, Theofanis

doi:10.1007/s11255-007-9225-7

Cited by 32 publications

(26 citation statements)

References 19 publications

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“…Successful hemodialysis depends on the maintenance of adequate vascular access. There are better outcomes when patients commence hemodialysis with a functional AVF compared to those who initiate treatment with catheter access [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. A functional AVF is the ideal form of vascular access because it brings lower complication rates and longer event-free patency than catheter access [5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Renal replacement therapy for stage 5 chronic kidney disease in the Cayman Islands

et al. 2009

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There has been no documentation on the epidemiology of end stage renal disease (ESRD) in the Cayman Islands. We retrospectively surveyed all facilities providing renal replacement therapy in the Cayman Islands in order to define the epidemiology of kidney failure in this setting. The prevalence of ESRD in this population was 0.975 persons per 1,000 population. There were 48 patients with kidney failure who received replacement therapy either by chronic hemodialysis (36) or kidney transplants (12). The method of access for maintenance hemodialysis was tunneled internal jugular catheter access (3), native arteriovenous fistulae (13) and prosthetic arteriovenous grafts (20). Currently, there is a low prevalence of maintenance hemodialysis by native fistulae (36.1%). A directed effort to increase the use of native fistulae is now necessary to meet the goals set by the National Kidney Foundation and Center for Medicaid Services. Otherwise, renal replacement therapy for patients with ESRD in the Cayman Islands exceeds the standards recommended by the National Kidney Foundation. In order to ensure continued delivery of modern quality care, further audits of the local practice will be required at regular intervals.

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Section: Discussionmentioning

confidence: 99%

Renal replacement therapy for stage 5 chronic kidney disease in the Cayman Islands

et al. 2009

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“…Regarding QOL, such association can be controversial; several studies demonstrated that the decline in QOL scores among the older dialysis population was slower than the younger patients [19,20]. Although the associations between the age groups and QOL scores are not uniform and affected by the criteria investigated, many studies demonstrated that age is one of the major determinants of QOL and that the physical functioning in QOL tended to be worse in the older population [21].…”

Section: Differences In Clinical Outcomesmentioning

confidence: 99%

The characteristics of the older dialysis population—heterogeneity and another type of altered risk factor patterns

2017

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The number of older dialysis patients is increasing in many countries. For example, the trend is linked to the increase in the dialysis patients 70 years of age and over in Japan. Older dialysis patients often experience deteriorating physical and psychological functions, and special consideration for older patients has been focused on improving or preventing such deteriorations. On the other hand, from the standpoint of clinical studies, the distribution of clinical parameters, clinical outcomes, and their associations of older dialysis patients differ from those of younger patients. Moreover, they exhibit heterogeneous phenotypes. Health age may be more important than the chronological age in considering older patients. Since the age is the most powerful predictor of survival, clinical interventions might have little benefit on the very old dialysis patients. Therefore, maintaining the quality of life or activity of daily living might surpass survival regarding the goal of management of very old dialysis patients. Above all, individualized management according to the heterogeneity or health age are necessary for the older dialysis patients. Future clinical studies of older dialysis patients are needed for the better understanding of this population.

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“…Available studies suggest that PD gives a quality of life as good as, and possibly better than, that given by HD [47][48][49][50][51][52]. PD is a home treatment that spares the patient repeated visits to the dialysis unit.…”

Section: Quality Of Lifementioning

confidence: 99%

Home dialysis as a first option: a new paradigm

et al. 2009

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Traditionally, the initial choice of dialysis for patients with end stage renal disease (ESRD) has been in-center hemodialysis (HD) or peritoneal dialysis (PD). Usually, the choice between these (PD vs. HD) has been based on the characteristics of the dialysis techniques. Obviously the choice of peritoneal dialysis implied dialysis at home, but its geographic location has been only a secondary consideration. Peritoneal dialysis has evolved as a dependable mode that gives good outcomes. This method has become more attractive with the option of overnight cyclers and the recent use of home helpers in some jurisdictions. At the same time the interest in home hemodialysis was rekindled by reports of good outcomes with short daily or nocturnal hemodialysis. Home dialysis (PD or HD) offers high quality of treatment, a high degree of patient independence, and is financially attractive. Therefore, we propose a change in our approach to the choice of the initial form of dialysis for patients with ESRD. Instead of choosing between HD and PD we should present the new patients the advantage of dialysis at home and instead of asking them to choose between peritoneal dialysis or hemodialysis, they should be offered the option to choose between dialysis at home (PD or HD) or in-hospital. This paper will review the advantages of the home-based dialysis methods and the arguments for this simple but vital change in the process of choosing the method of dialysis.

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Quality of life in the elderly patients on dialysis

Cited by 32 publications

References 19 publications

Renal replacement therapy for stage 5 chronic kidney disease in the Cayman Islands

Renal replacement therapy for stage 5 chronic kidney disease in the Cayman Islands

The characteristics of the older dialysis population—heterogeneity and another type of altered risk factor patterns

Home dialysis as a first option: a new paradigm

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