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

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 artic...

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Autores principales: Walton, Lyle S, Shumer, Gregory D, Thorsteinsdottir, Björg, Suh, Theodore, Swetz, Keith M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Concise Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5638155/
https://www.ncbi.nlm.nih.gov/pubmed/29051704
http://dx.doi.org/10.1177/1178224217735083
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author Walton, Lyle S
Shumer, Gregory D
Thorsteinsdottir, Björg
Suh, Theodore
Swetz, Keith M
author_facet Walton, Lyle S
Shumer, Gregory D
Thorsteinsdottir, Björg
Suh, Theodore
Swetz, Keith M
author_sort Walton, Lyle S
collection PubMed
description 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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spelling pubmed-56381552017-10-19 Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations? Walton, Lyle S Shumer, Gregory D Thorsteinsdottir, Björg Suh, Theodore Swetz, Keith M Palliat Care Concise Review 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. SAGE Publications 2017-10-09 /pmc/articles/PMC5638155/ /pubmed/29051704 http://dx.doi.org/10.1177/1178224217735083 Text en © The Author(s) 2017 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Concise Review
Walton, Lyle S
Shumer, Gregory D
Thorsteinsdottir, Björg
Suh, Theodore
Swetz, Keith M
Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
title Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
title_full Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
title_fullStr Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
title_full_unstemmed Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
title_short Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
title_sort palliation versus dialysis for end-stage renal disease in the oldest old: what are the considerations?
topic Concise Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5638155/
https://www.ncbi.nlm.nih.gov/pubmed/29051704
http://dx.doi.org/10.1177/1178224217735083
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