Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?
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DOI：
10.1177/1178224217735083
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Swetz KM
中科院分区：
文献类型：
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作者：
Walton LS;Shumer GD;Thorsteinsdottir B;Suh T;Swetz KM
随着美国人口持续老龄化，85 岁或以上（年龄最大的老年人）的终末期肾病 (ESRD) 新病例不断增加。许多尽管益处存疑但开始血液透析的患者可能会面临高症状负担和快速功能衰退的困扰。本文回顾了医疗保险 ESRD 计划的资助和发展历史，回顾了目前对患有 ESRD 的高龄老人的治疗方法，并考虑了改善这一弱势群体管理方法的策略。
As the US population continues to age, new cases of end-stage renal disease (ESRD) in individuals, aged 85 years or older (the oldest old), are increasing. Many patients who begin hemodialysis despite questionable benefit may struggle with high symptom burden and rapid functional decline. This article reviews the history regarding the funding and development of the Medicare ESRD program, reviews current approaches to the oldest old with ESRD, and considers strategies to improve the management approach of this vulnerable population.