4.2 Article

Chronic Kidney Disease and End-Stage Renal Disease in the Elderly Population: Current Prevalence, Future Projections, and Clinical Significance

期刊

ADVANCES IN CHRONIC KIDNEY DISEASE
卷 17, 期 4, 页码 293-301

出版社

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1053/j.ackd.2010.03.010

关键词

Chronic kidney disease; Elderly; Glomerular filtration rate; Albuminuria; Cardiovascular disease

资金

  1. NIDDK NIH HHS [K23 DK081017-04, K23 DK081017] Funding Source: Medline

向作者/读者索取更多资源

The world's population is aging, with the number of older adults projected to increase dramatically over the next 2 decades. This trend poses major challenges to health care systems, reflecting the greater health care use and more comorbid conditions among elderly adults. Chronic kidney disease (CKD) is a substantial concern in the elderly population, with both an increasing incidence of treated kidney failure with dialysis as well as a high prevalence of earlier stages of CKD. Given the high burden of risk factors for CKD, the high prevalence of CKD in the elderly population is not surprising, with the rise in obesity, diabetes, and hypertension in middle-aged adults likely foreshadowing further increases in CKD prevalence among the elderly population. It is now commonly agreed that the presence of CKD identifies a higher risk state in the elderly population, with increased risk for multiple adverse outcomes, including kidney failure, cardiovascular disease, cognitive impairment, and death. Accordingly, CKD in older adults is worthy of attention by both health care providers and patients, with the presence of a reduced glomerular filtration rate or albuminuria in the elderly potentially informing therapeutic and diagnostic decisions for these individuals. (C) 2010 by the National Kidney Foundation, Inc. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.2
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Urology & Nephrology

Economic evaluation of expanded hemodialysis with the Theranova 400 dialyzer: A post hoc evaluation of a randomized clinical trial in the United States

Michael J. Blackowicz, Luke Falzon, Werner Beck, Ha Tran, Daniel E. Weiner

Summary: This study evaluates the association between Theranova dialyzer and conventional high-flux dialyzer in terms of hospitalization rates and healthcare costs. The results demonstrate that Theranova is associated with lower hospitalization rates and costs.

HEMODIALYSIS INTERNATIONAL (2022)

Article Urology & Nephrology

Effect of Long-term Exercise Training on Physical Performance and Cardiorespiratory Function in Adults With CKD: A Randomized Controlled Trial

Daniel E. Weiner, Christine K. Liu, Shiyuan Miao, Roger Fielding, Leslie I. Katzel, Jamie Giffuni, Andrew Well, Stephen L. Seliger

Summary: The safety and efficacy of long-term exercise training in older adults with advanced CKD and comorbidity is uncertain. This study aimed to evaluate the effects of exercise training on cardiorespiratory fitness and submaximal gait in older adults with CKD. The results showed that exercise training improved cardiorespiratory fitness and walking ability, but the effects diminished after 12 months.

AMERICAN JOURNAL OF KIDNEY DISEASES (2023)

Editorial Material Urology & Nephrology

Exercise and Kidney Disease Prevention: Walk This Way

Stephen Seliger, Daniel E. Weiner

AMERICAN JOURNAL OF KIDNEY DISEASES (2022)

Article Urology & Nephrology

Clinical Trial Considerations in Developing Treatments for Early Stages of Common, Chronic Kidney Diseases: A ScientificWorkshop Cosponsored by the National Kidney Foundation and the US Food and Drug Administration

Lesley A. Inker, Morgan E. Grams, Hrefna Guomundsdottir, Phil McEwan, Robert Friedman, Aliza Thompson, Daniel E. Weiner, Kerry Willis, Hiddo J. L. Heerspink

Summary: A scientific workshop sponsored by the National Kidney Foundation and the US Food and Drug Administration (FDA) was held to discuss the value of treating early chronic kidney disease (CKD) and the challenges in conducting trials for early CKD. The attendees reached a consensus on the importance of preventing and treating early CKD progression, using surrogate end points to establish efficacy, and conducting comprehensive cost analyses and safety data collection.

AMERICAN JOURNAL OF KIDNEY DISEASES (2022)

Article Cardiac & Cardiovascular Systems

Cardiovascular Effects of Home Dialysis Therapies: A Scientific Statement From the American Heart Association

Mark J. Sarnak, Bourne L. Auguste, Edwina Brown, Alexander R. Chang, Glenn M. Chertow, Mary Hannan, Charles A. Herzog, Annie-Claire Nadeau-Fredette, Wai Hong Wilson Tang, Angela Yee-Moon Wang, Daniel E. Weiner, Christopher T. Chan

Summary: Cardiovascular disease is the leading cause of morbidity and mortality in patients with end-stage kidney disease. The current therapy of thrice-weekly in-center hemodialysis has poor outcomes, while emerging evidence suggests that home dialysis may improve cardiovascular risk factors and outcomes. Incorporating interdisciplinary care models to increase the use of home dialysis therapies can contribute to improving outcomes for patients with kidney failure and cardiovascular disease.

CIRCULATION (2022)

Article Urology & Nephrology

Treatment Decision Making for Older Kidney Patients during COVID-19

Thalia Porteny, Kristina M. Gonzales, Kate E. Aufort, Sarah Levine, John B. Wong, Tamara Isakova, Dena E. Rifkin, Elisa J. Gordon, Ana Rossi, Gary Di Perna, Susan Koch-Weser, Daniel E. Weiner, Keren Ladin, Stakeholder Advisory Board

Summary: This study analyzed the impact of the COVID-19 pandemic on shared decision making for older patients with CKD. The discussions between clinicians and patients still have room for improvement in this pandemic context, but patients remain satisfied with their treatment choices.

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2022)

Editorial Material Urology & Nephrology

HIF-PHIs for Anemia Management in CKD Potential and Uncertainty ASCEND

Wendy McCallum, Daniel E. Weiner

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2022)

Letter Urology & Nephrology

The Advancing American Kidney Health Initiative: Do Not Let 80% Distract Us from the Fact that We Can Do Better

Mallika L. Mendu, Scott D. Bieber, Suzanne G. Watnick, Daniel E. Weiner

JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY (2022)

Article Nutrition & Dietetics

Vitamin K Status and Cognitive Function in Adults with Chronic Kidney Disease: The Chronic Renal Insufficiency Cohort

M. Kyla Shea, Jifan Wang, Kathryn Barger, Daniel E. Weiner, Sarah L. Booth, Stephen L. Seliger, Amanda H. Anderson, Rajat Deo, Harold Feldman, Alan S. Go, Jiang He, Ana C. Ricardo, Manjula Kurella Tamura

Summary: This study found an association between vitamin K status and cognitive performance in individuals with chronic kidney disease. Participants with lower levels of plasma (dp)ucMGP, indicating higher vitamin K status, had better cognitive performance. Plasma phylloquinone levels were not significantly associated with cognitive performance. These findings suggest that vitamin K may play an important role in cognitive function in individuals with chronic kidney disease.

CURRENT DEVELOPMENTS IN NUTRITION (2022)

Article Public, Environmental & Occupational Health

Utilizing the Probation Office as an Opportunity to Screen for Cardiometabolic Outcomes: A Feasibility Study

Kimberly R. Dong, Curt G. Beckwith, Anna Grossman, Daniel E. Weiner, Alice H. Lichtenstein

Summary: This study investigated the feasibility of using the probation office setting to screen and assess cardiometabolic risk factors in adults. The findings suggest that it is possible to identify high-risk individuals during routine probation office visits, and referral for treatment can be provided to improve long-term health outcomes.

JOURNAL OF CORRECTIONAL HEALTH CARE (2022)

Article Urology & Nephrology

SARS-CoV-2 Vaccine Effectiveness and Breakthrough Infections Among Patients Receiving Maintenance Dialysis

Harold J. Manley, Nien Chen Li, Gideon N. Aweh, Caroline M. Hsu, Daniel E. Weiner, Dana Miskulin, Antonia M. Harford, Doug Johnson, Eduardo Lacson

Summary: The effectiveness of SARS-CoV-2 vaccines and the immunogenicity threshold for protection against COVID-19-related hospitalization or death in the dialysis population are uncertain. This retrospective observational study found that SARS-CoV-2 vaccination in maintenance dialysis patients was associated with a lower risk of COVID-19 diagnosis and related hospitalization or death. Among vaccinated patients, those with lower levels of anti-spike IgG antibodies had higher rates of infection and worse COVID-19-related outcomes.

AMERICAN JOURNAL OF KIDNEY DISEASES (2023)

Article Medicine, General & Internal

Effectiveness of an Intervention to Improve Decision Making for Older Patients With Advanced Chronic Kidney Disease: A Randomized Controlled Trial

Keren Ladin, Hocine Tighiouart, Olivia Bronzi, Susan Koch-Weser, John B. Wong, Sarah Levine, Arushi Agarwal, Lucy Ren, Jack Degnan, Lexi N. Sewall, Brianna Kuramitsu, Patrick Fox, Elisa J. Gordon, Tamara Isakova, Dena Rifkin, Ana Rossi, Daniel E. Weiner

Summary: This study compared the impact of a decision aid for kidney replacement therapy with usual care on decisional quality in older patients with advanced chronic kidney disease. The results showed that the decision aid improved decision quality, increased treatment knowledge, and reduced uncertainty while clarifying treatment preferences.

ANNALS OF INTERNAL MEDICINE (2023)

Editorial Material Urology & Nephrology

COVID-19 and Dialysis: What's Past Is Prologue

Allison C. Reaves, Daniel E. Weiner, Caroline M. Hsu

KIDNEY MEDICINE (2022)

Article Urology & Nephrology

Safety and Effectiveness of Difelikefalin in Patients With Moderate-to-Severe Pruritus Undergoing Hemodialysis: An Open-Label, Multicenter Study

Daniel E. Weiner, Marc G. Vervloet, Sebastian Walpen, Thilo Schaufler, Catherine Munera, Frederique Menzaghi, Warren Wen, Sarbani Bhaduri, Michael J. Germain

Summary: Difelikefalin is well tolerated and can effectively reduce itch intensity, improve itch-related quality of life, and enhance sleep quality in patients receiving hemodialysis with moderate-to-severe CKD-aP.

KIDNEY MEDICINE (2022)

Article Urology & Nephrology

The Relationship of Kidney Tubule Biomarkers with Brain Imaging in CKD Patients in SPRINT

Lindsay M. M. Miller, Manjula Kurella Tamura, Nicholas M. M. Pajewski, Dena Rifkin, Daniel Weiner, Maria Marquine, Michael G. G. Shlipak, Joachim H. H. Ix

Summary: This study is the first evaluation of the relationship between kidney tubule biomarkers and brain imaging by MRI in patients with CKD, and it found that urine biomarker concentrations were not associated with brain MRI measures.

KIDNEY360 (2022)

暂无数据