This review highlights the increasing prevalence of CKD in older patients and discusses key aspects of diagnosis, management, and referral.
Alerts clinicians to rising CKD burden in older adults; leaves open optimal diagnostic and referral thresholds.
Since the introduction of estimated glomerular filtration rate (GFR), the number of patients with chronic kidney disease (CKD) has considerably increased. This is particularly true for elderly patients as the majority have a low GFR. Chronic kidney disease has a significant impact on a patient's outcome. We have reviewed important aspects of CKD in older patients, with emphasis on diagnosis and management, as well as explored decision-making regarding specialist-care referral and renal replacement therapy.
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Abdelhafiz et al. (2008) studied this question.
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