Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?-Reference-Cited by-同舟云学术

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

Published:2017-01-01 Issue: Volume:10 Page:117822421773508
ISSN:1178-2242
Container-title:Palliative Care: Research and Treatment
language:en
Short-container-title:Palliat�Care

Author:

Walton Lyle S¹²,Shumer Gregory D³,Thorsteinsdottir Björg⁴⁵⁶,Suh Theodore¹²,Swetz Keith M⁷⁸

Affiliation:

1. Department of Medicine, University of Michigan, Ann Arbor, MI, USA

2. Department of Medicine, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA

3. Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA

4. Department of Medicine, Mayo Clinic, Rochester, MN, USA

5. Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA

6. Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery and Bioethics Research Program, Mayo Clinic, Rochester, MN, USA

7. Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA

8. Section of Palliative Care, Birmingham VA Medical Center, Birmingham, AL, USA

Abstract

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.

Publisher

SAGE Publications

Subject

Advanced and Specialized Nursing,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1178224217735083

Reference42 articles.

1. Revisiting the Biomedicalization of Aging: Clinical Trends and Ethical Challenges

2. Old Age, Life Extension, and the Character of Medical Choice

3. Discernment Rather Than Decision-Making Among Elderly Dialysis Patients

4. Timing of Initiation of Maintenance Dialysis

Cited by 1 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Race, Age, and Kidney Transplant Waitlisting Among Patients Receiving Incident Dialysis in the United States;Kidney Medicine;2023-10