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.
Hospital del Rio Hortega, Valladolid, Spain.
A
A
Molina
W
W
Elliott
R
R
Wilkinson
M
M
Ward
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