Current and emerging treatment options for the elderly patient with chronic kidney disease.

摘要: The objective of this article is to review the current and emerging treatments CKD prior dialysis in elderly. Worldwide, there are increasing numbers people who aged over 65 years. In parallel, elderly patients presenting with chronic kidney disease (CKD), particularly more advanced stages. have quite different health care needs related their associated comorbidity, frailty, social isolation, poor functional status, cognitive decline. Clinical trials assessing for usually excluded older than 70-75 years; therefore, it difficult translate therapies recommended younger across Many progress end-stage face dilemma whether undertake or accept a conservative approach supported by palliative care. This places pressure on patient, family, resources. clinical trajectory has past been unclear, but recent evidence suggests that many 75 years age multiple comorbidities greatly reduced life expectancies quality life, even if they choose treatment. Offering pathway reasonable option some under these circumstances. person chooses will frequently requirements patients. Kidney transplantation can still result improved expectancy elderly, carefully selected people. There genuine need inclusion future so we produce evidence-based group. addition, new treat slow progression needed all groups.