To Do Or Not to Do Dialysis? That is the Question
Currently, patients older than 75 years are the fastest-growing group starting dialysis worldwide. However, the benefits of dialysis become doubtful among frail older patients and conservative kidney management (CKM) has emerged as a feasible therapeutic strategy for some patients, with a focus on...
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| Format: | Article |
| Language: | English |
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Publicações Ciência e Vida
2022-12-01
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| Series: | Revista Portuguesa de Nefrologia e Hipertensão |
| Subjects: | |
| Online Access: | https://spnefro.pt/_doi/fc150f33-8c76-4e4d-8b10-c472719241b7/16fc4c32-337d-4461-8421-eac62e7def56 |
| _version_ | 1811169179155300352 |
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| author | Cátia Raquel Figueiredo Ana Farinha |
| author_facet | Cátia Raquel Figueiredo Ana Farinha |
| author_sort | Cátia Raquel Figueiredo |
| collection | DOAJ |
| description | Currently, patients older than 75 years are the fastest-growing group starting dialysis worldwide. However, the benefits of dialysis become
doubtful among frail older patients and conservative kidney management (CKM) has emerged as a feasible therapeutic strategy for some
patients, with a focus on quality of life and comfort. Even though it is a challenge to recognize which is the most suitable therapeutic option
for elderly patients. We report a case of an 81-year-old woman who initially chose CKM, but later accepted to start hemodialysis due to difficult control of hypervolemia. During the period on dialysis, she had several complications, the most serious related to lower limb amputation,
as a result of severe chronic ischemia. This case reflects the complexity of managing an older stage 5 chronic kidney disease patient, both on
dialysis or CKM. Treatment decisions are complex and prognosis estimation is challenging. Time is essential to understand the benefits and
burdens of different treatment strategies for each patient and the priority should be centered on optimizing care for older adults with advanced
kidney disease. |
| first_indexed | 2024-04-10T16:38:08Z |
| format | Article |
| id | doaj.art-b6022811bf15425ba4a301dc1bd47485 |
| institution | Directory Open Access Journal |
| issn | 0872-0169 2183-1289 |
| language | English |
| last_indexed | 2024-04-10T16:38:08Z |
| publishDate | 2022-12-01 |
| publisher | Publicações Ciência e Vida |
| record_format | Article |
| series | Revista Portuguesa de Nefrologia e Hipertensão |
| spelling | doaj.art-b6022811bf15425ba4a301dc1bd474852023-02-08T11:04:09ZengPublicações Ciência e VidaRevista Portuguesa de Nefrologia e Hipertensão0872-01692183-12892022-12-0136425025310.32932/pjnh.2023.01.215To Do Or Not to Do Dialysis? That is the QuestionCátia Raquel Figueiredo0https://orcid.org/0000-0002-0871-6092Ana Farinha1https://orcid.org/0000-0002-5402-7626Centro Hospitalar do Médio Tejo, Torres Novas, Santarém, PortugalCentro Hospitalar de Setúbal, Setúbal, PortugalCurrently, patients older than 75 years are the fastest-growing group starting dialysis worldwide. However, the benefits of dialysis become doubtful among frail older patients and conservative kidney management (CKM) has emerged as a feasible therapeutic strategy for some patients, with a focus on quality of life and comfort. Even though it is a challenge to recognize which is the most suitable therapeutic option for elderly patients. We report a case of an 81-year-old woman who initially chose CKM, but later accepted to start hemodialysis due to difficult control of hypervolemia. During the period on dialysis, she had several complications, the most serious related to lower limb amputation, as a result of severe chronic ischemia. This case reflects the complexity of managing an older stage 5 chronic kidney disease patient, both on dialysis or CKM. Treatment decisions are complex and prognosis estimation is challenging. Time is essential to understand the benefits and burdens of different treatment strategies for each patient and the priority should be centered on optimizing care for older adults with advanced kidney disease.https://spnefro.pt/_doi/fc150f33-8c76-4e4d-8b10-c472719241b7/16fc4c32-337d-4461-8421-eac62e7def56agedconservative treatmentdecision makingkidney failurechronic/therapyrenal dialysis |
| spellingShingle | Cátia Raquel Figueiredo Ana Farinha To Do Or Not to Do Dialysis? That is the Question Revista Portuguesa de Nefrologia e Hipertensão aged conservative treatment decision making kidney failure chronic/therapy renal dialysis |
| title | To Do Or Not to Do Dialysis? That is the Question |
| title_full | To Do Or Not to Do Dialysis? That is the Question |
| title_fullStr | To Do Or Not to Do Dialysis? That is the Question |
| title_full_unstemmed | To Do Or Not to Do Dialysis? That is the Question |
| title_short | To Do Or Not to Do Dialysis? That is the Question |
| title_sort | to do or not to do dialysis that is the question |
| topic | aged conservative treatment decision making kidney failure chronic/therapy renal dialysis |
| url | https://spnefro.pt/_doi/fc150f33-8c76-4e4d-8b10-c472719241b7/16fc4c32-337d-4461-8421-eac62e7def56 |
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