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Minerva Urologica e Nefrologica 2010 March;62(1):87-101

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

The elderly patients on hemodialysis

Anand S., Kurella Tamura M., Chertow G. M,

Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA, USA


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Nephrologists care for an increasing number of elderly patients on hemodialysis. As such, an understanding of the overlap among complications of hemodialysis and geriatric syndromes is crucial. This article reviews hemodialysis management issues including vascular access, hypertension, anemia and bone and mineral disorders with an attention towards the distinct medical needs of the elderly. Key concepts of geriatrics — frailty, dementia and palliative care — are also discussed, as nephrologists frequently participate in decision-making directed toward balancing longevity, functional status and the burden of therapy.

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