Renal replacement therapy in the elderly population

Joseph R. Berger, S. Susan Hedayati

Research output: Contribution to journalReview articlepeer-review

78 Scopus citations


ESRD has become an important problem for elderly patients. The segment of the ESRD population age 65 years or older has grown considerably, and this growth is expected to accelerate in coming years. Nephrologists caring for the elderly with advanced kidney disease will encounter patients with comorbid conditions common in younger patients, as well as physical, psychological, and social challenges that occur with increased frequency in the aging population. These challenging factors must be addressed to help inform decisions regarding the option to initiate dialysis, the choice of dialysismodality,whether to pursue kidney transplantation, and end-of-life care. This article will highlight some common problems encountered by elderly patients with ESRD and review data on the clinical outcomes of elderly patients treatedwith differentmodalities of dialysis, outcomes of kidney transplantation in the elderly, and nondialytic management of CKD stage 5.

Original languageEnglish (US)
Pages (from-to)1039-1046
Number of pages8
JournalClinical Journal of the American Society of Nephrology
Issue number6
StatePublished - Jun 1 2012

ASJC Scopus subject areas

  • Epidemiology
  • Critical Care and Intensive Care Medicine
  • Nephrology
  • Transplantation


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