The elderly patients on hemodialysis.
Nephrologists care for an increasing number of elderly patients on hemodialysis. As such, an understanding of the overlap among complications of hemodialysis and geriatric syndromes is crucial. This article reviews hemodialysis management issues including vascular access, hypertension, anemia and bone and mineral disorders with an attention towards the distinct medical needs of the elderly. Key concepts of geriatrics frailty, dementia and palliative care are also discussed, as nephrologists frequently participate in decision-making directed toward balancing longevity, functional status and the burden of therapy.
Anand
S
S
Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA, USA. sanand2@stanford.edu
Kurella Tamura
M
M
Chertow
G M
GM
D000368:Aged; D000369:Aged, 80 and over; D000740:Anemia / Q000150:complications; D002408:Catheters, Indwelling / Q000009:adverse effects; D003704:Dementia / Q000150:complications; D016330:Frail Elderly; D015577:Geriatric Assessment; D006801:Humans; D006973:Hypertension / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D010166:Palliative Care; D006435:Renal Dialysis; D012307:Risk Factors