The influence of changing age and referral for end-stage renal failure in Newcastle upon Tyne.
This paper reports a retrospective analysis of renal replacement therapy in patients over 60 years-of-age admitted to regional unit in Newcastle upon Tyne during a 7-year period. The changing age patterns of referral for management of end-stage renal failure have been reviewed, including the morbidity and mortality of this age-group managed for end-stage renal failure by haemodialysis, peritoneal dialysis and transplantation. The results show an alarming increase in the number of referrals aged over 60 years (> 36% in 4 years). Associated medical problems, methods of treatment and management (including special needs), and the effects of the rapidly increasing proportion of elderly patients on renal services are described.
Molina
A
A
Hospital del Rio Hortega, Valladolid, Spain.
Elliott
W
W
Wilkinson
R
R
Ward
M
M
D000368:Aged; D016009:Chi-Square Distribution; D003956:Dialysis / Q000706:statistics & numerical data*; D004739:England / Q000453:epidemiology; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data / Q000639:trends*; D006436:Hemodialysis Units, Hospital / Q000706:statistics & numerical data; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation / Q000706:statistics & numerical data* / Q000639:trends