Epidemiology and Public Health Concerns of CKD in Older Adults.

Epidemiology and Public Health Concerns of CKD in Older Adults.
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DOI:
10.1053/j.ackd.2015.10.001
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发表时间:
2016-01
影响因子:
2.9
通讯作者:
Kurella Tamura M
Kurella Tamura M
中科院分区:
医学4区
文献类型:
--
作者:
Fung E;Kurella Tamura M

文献摘要

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慢性肾病在老年人中越来越常见。估计该人群的肾小球滤过率可能具有挑战性,因为肌少症会影响各种公式的准确性。死亡的竞争风险会影响进展为终末期肾病的风险。在管理这一人群的慢性肾脏病时,必须考虑其他合并症,包括老年综合征的评估。仍需要更多的研究来指导这一异质人群的医疗管理。
Chronic kidney disease is increasingly common in older adults. Estimating the glomerular filtration rate can be challenging in this population, with sarcopenia affecting the accuracy of various formulae. Competing risks of death influence the risk of progression to end stage kidney disease. In managing chronic kidney disease in this population, one must take into consideration other comorbidities including assessment of geriatric syndromes. More research is still needed to guide medical management in this heterogeneous population.