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Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil
An increasing number of elderly people in renal support is expected in the coming years. The objective of this study was to report the clinical and socio-demographic data of end-stage renal disease (ESRD) adult patients undergoing regular dialysis treatment comparing elderly (≥65 years old) and non-...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Brasileira de Divulgação Científica
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894391/ https://www.ncbi.nlm.nih.gov/pubmed/33624734 http://dx.doi.org/10.1590/1414-431X20209806 |
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author | Gonçalves, J.G. Lugon, J.R. do Nascimento, M.M. Sesso, R.C. |
author_facet | Gonçalves, J.G. Lugon, J.R. do Nascimento, M.M. Sesso, R.C. |
author_sort | Gonçalves, J.G. |
collection | PubMed |
description | An increasing number of elderly people in renal support is expected in the coming years. The objective of this study was to report the clinical and socio-demographic data of end-stage renal disease (ESRD) adult patients undergoing regular dialysis treatment comparing elderly (≥65 years old) and non-elderly subjects using data from the Brazilian Dialysis Registry database. The regional distribution of the sample was Southeast (48.8%), South (33.7), Northeast (13.1%), Midwest (5.1%), and North (0.1%). A total of 18,030 patients were included in the analysis with elderly patients accounting for 29.5% of the sample. The elderly patients were predominantly male, white, retired, and literate. Elderly ESRD patients had a slightly higher frequency of undernourishment and a lower frequency of obesity than the non-elderly adults. A higher frequency of elderly patients were from the South and Southeast regions. The dialysis treatment of patients from both groups was predominantly funded by the public system, but the percent of non-public funding was higher for the elderly group. The most used initial access in the elderly was the central venous catheter and hemodialysis was the main modality at the beginning of treatment (93.2%), as well as during maintenance therapy (91.8%). Advanced age was associated with greater use of central venous catheter in the first dialysis session. The survival of the elderly on dialysis was lower than that of the non-elderly early in the course of dialysis and this difference increased over time. This is yet the largest national epidemiological study of elderly people on chronic dialysis. |
format | Online Article Text |
id | pubmed-7894391 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Associação Brasileira de Divulgação Científica |
record_format | MEDLINE/PubMed |
spelling | pubmed-78943912021-02-26 Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil Gonçalves, J.G. Lugon, J.R. do Nascimento, M.M. Sesso, R.C. Braz J Med Biol Res Research Article An increasing number of elderly people in renal support is expected in the coming years. The objective of this study was to report the clinical and socio-demographic data of end-stage renal disease (ESRD) adult patients undergoing regular dialysis treatment comparing elderly (≥65 years old) and non-elderly subjects using data from the Brazilian Dialysis Registry database. The regional distribution of the sample was Southeast (48.8%), South (33.7), Northeast (13.1%), Midwest (5.1%), and North (0.1%). A total of 18,030 patients were included in the analysis with elderly patients accounting for 29.5% of the sample. The elderly patients were predominantly male, white, retired, and literate. Elderly ESRD patients had a slightly higher frequency of undernourishment and a lower frequency of obesity than the non-elderly adults. A higher frequency of elderly patients were from the South and Southeast regions. The dialysis treatment of patients from both groups was predominantly funded by the public system, but the percent of non-public funding was higher for the elderly group. The most used initial access in the elderly was the central venous catheter and hemodialysis was the main modality at the beginning of treatment (93.2%), as well as during maintenance therapy (91.8%). Advanced age was associated with greater use of central venous catheter in the first dialysis session. The survival of the elderly on dialysis was lower than that of the non-elderly early in the course of dialysis and this difference increased over time. This is yet the largest national epidemiological study of elderly people on chronic dialysis. Associação Brasileira de Divulgação Científica 2021-02-12 /pmc/articles/PMC7894391/ /pubmed/33624734 http://dx.doi.org/10.1590/1414-431X20209806 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Gonçalves, J.G. Lugon, J.R. do Nascimento, M.M. Sesso, R.C. Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil |
title | Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil |
title_full | Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil |
title_fullStr | Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil |
title_full_unstemmed | Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil |
title_short | Demographics and clinical features of elderly patients undergoing regular dialysis in Brazil |
title_sort | demographics and clinical features of elderly patients undergoing regular dialysis in brazil |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7894391/ https://www.ncbi.nlm.nih.gov/pubmed/33624734 http://dx.doi.org/10.1590/1414-431X20209806 |
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