Document Detail

Is Dialysis a Viable Option for the Older Patient Outcomes for Patients Starting Dialysis Aged 80 Years or Older.
MedLine Citation:
PMID:  22555199     Owner:  NLM     Status:  Publisher    
Background: Maximum conservative management (MCM) has been proposed as an alternative care pathway for the increasing number of elderly patients with progressive chronic kidney disease. Methods: Retrospective analysis of patients aged ≥80 years of age, starting dialysis between 2000 and 2009 in a centre with an established MCM programme. Demographic data, baseline biochemical markers and survival were collected. Results: 93 consecutive patients were studied; median age 83 years (IQR 81-86). 67 male, 32% diabetic. Median survival 46.5 months (range 0-107), with 1- and 5-year survival 78.5 and 38.3%, respectively. Factors predicting poorer survival were Caucasoid ethnicity (p = 0.04) and serum albumin ≤30 g/l (p = 0.01) at dialysis initiation. Duration of nephrology care prior to dialysis initiation did not effect survival. Conclusion: The very elderly electing dialysis were found to have good survival. Further patient characterisation is required to improve decision-making between dialysis and MCM for elderly patients with progressive chronic kidney disease.
Anthony Isaacs; Aine Burns; Andrew Davenport
Related Documents :
22492389 - Loss of epithelial membrane protein-2 expression confers an independent prognosticator ...
22627319 - High top2b/top2a expression ratio at diagnosis correlates with favourable outcome for s...
22295129 - Factors influencing progression-free survival in gastrointestinal stromal tumors with s...
22695339 - Pet/ct with [18f] fluorodeoxyglucose in the assessment of metabolic response to neoadju...
22531769 - Predicting the risk of lymph node invasion during radical prostatectomy using the europ...
22622599 - Medulloblastoma.
2818179 - Proximal extrahepatic bile duct tumors. analysis of a series of 52 consecutive patients...
20592389 - Prevalence of ca 27.29 in primary breast cancer patients before the start of systemic t...
20538399 - Prognostic factors and outcome analysis of submandibular gland cancer: a clinical audit.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-27
Journal Detail:
Title:  Blood purification     Volume:  33     ISSN:  1421-9735     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-5-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402040     Medline TA:  Blood Purif     Country:  -    
Other Details:
Languages:  ENG     Pagination:  257-262     Citation Subset:  -    
Copyright Information:
Copyright © 2012 S. Karger AG, Basel.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Validation of the Self-Assessment of Melanoma Risk Score for a melanoma-targeted screening.
Next Document:  Does arthroscopic partial meniscectomy always cause arthritis?