title: Dialysis therapies in older patients with end-stage renal disease.
abstract: Each year a large number of older individuals with advanced renal disease are started on chronic dialysis therapy. Life expectancy is estimated at between 2 and 4 years depending on age, comorbidity, and intensity of medical care required in the weeks around the dialysis start time. Survivors remain at high risk of ongoing morbidity. Regarding quality of life, many older patients express regret over having opted for chronic dialysis therapy and subsequently choose to withdraw from treatment, whereas many others maintain a quality of life similar to that of age-matched peers. Early assessment and ongoing comprehensive geriatric assessment is recommended.
authors.affiliation: Division of Nephrology, Department of Medicine, University of Toronto, University Health Network, 200 Elizabeth Street, 8N857, Toronto, Ontario M5G 2K8, Canada.
authors.forename: Tuschar
authors.initials: T
authors.lastname: Malavade
authors.forename: Ahmed
authors.initials: A
authors.lastname: Sokwala
authors.forename: Sarbjit Vanita
authors.initials: SV
authors.lastname: Jassal
mesh_terms: D000368:Aged; D015897:Comorbidity; D017281:Cost of Illness; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000523:psychology / Q000628:therapy; D008017:Life Expectancy; D017063:Outcome Assessment, Health Care; D010352:Patient Dropouts / Q000706:statistics & numerical data; D057240:Patient Preference; D018579:Patient Selection; D010530:Peritoneal Dialysis / Q000379:methods / Q000706:statistics & numerical data; D011788:Quality of Life; D006435:Renal Dialysis / Q000379:methods / Q000706:statistics & numerical data; D020379:Risk Adjustment; D016019:Survival Analysis
keywords: Dialysis; Elderly; Hemodialysis; Peritoneal dialysis