The elderly patients on hemodialysis

Minerva Urol Nefrol. 2010 Mar;62(1):87-101.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anemia / complications
  • Catheters, Indwelling* / adverse effects
  • Dementia / complications
  • Frail Elderly*
  • Geriatric Assessment
  • Humans
  • Hypertension / complications
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / therapy
  • Palliative Care
  • Renal Dialysis*
  • Risk Factors