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Hemodialysis in elderly patients

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References

  1. US Renal Data System [US RDS]. Annual data report, Bethesda MD: National Institutes of Health, 1998.

    Google Scholar 

  2. Nissenson AR. Peritoneal dialysis in geriatric patients: an overview and introduction. Adv Perit Dial 1990; 6: 1.

    Google Scholar 

  3. Porush JG, Faubert RF. Chronic renal failure. In: Porush JG, Faubert RF, editors. Renal disease in the aged. Boston: Little Brown, 1991: 285–313.

    Google Scholar 

  4. Glickman JF, Kaiser DL, Bolton WK. Aetiology and diagnosis of chronic renal insufficiency in the aged: the role of renal biopsy. In:Macias-Nuñ ez JF, Cameron JS, editors. Renal function and disease in the elderly. London: Butterworths, 1987: 485–508.

    Google Scholar 

  5. Brown WW, Davis BB, Spry LA, et al. Aging and the kidney. Arch Intern Med 1986; 146: 1790–1796.

    Article  PubMed  CAS  Google Scholar 

  6. Brown WW. The geriatric dialysis patient. In: Henrich WL, editor. Principles and practices of dialysis, chapter 31, 2nd edition. Baltimore: Williams and Wilkins, 1999; 460–476.

    Google Scholar 

  7. Winchester JF, Rakowski TA. End-state renal disease and its management in older adults. In: Beck LH, editor. Genitourinary problems. Clinics in geriatric medicine. Philadelphia: W. B. Saunders Company, 1998; 255–265.

    Google Scholar 

  8. Rowe JW, Andres R, Tobin JD. Age-adjusted normal standards for creatinine clearance in man. Ann Intern Med 1976; 84: 567–569.

    PubMed  CAS  Google Scholar 

  9. Williams P, Ruch DR. Geriatric polypharmacy. Hosp Prac 1986; 21: 104.

    Google Scholar 

  10. Chester AC, Rakowski TA. Argy WP et al. Hemodialysis in the eighth and ninth decades of life. Arch Intern Med 1979; 139: 1001–1005.

    Article  PubMed  CAS  Google Scholar 

  11. Westlie L, Umen A, Nestrud S, Kjellstrand CM. Mortality, morbidity and life satisfaction in the very old dialysis patient. Trans Am Soc Artif Intern Organs 1984; 30: 21–30.

    PubMed  CAS  Google Scholar 

  12. Rotellar E et al. Must patients over 65 be haemodialyzed? Nephron 1985; 41: 152–156.

    PubMed  CAS  Google Scholar 

  13. Schaefer K et al. Optimum dialysis treatment for patients over 60 years with primary renal disease. Survival data and clinical results from 242 patients treated either by hemodialysis or hemofiltration. Proc Eur Dial Transplant Assoc Eur Renal Assoc 1985; 21: 510–523.

    CAS  Google Scholar 

  14. Panarello G, De Baz H, Cecchin E, Tesis F. Dialysis for the elderly: Survival and risk factors. Adv Perit Dial 1989; 5: 49–51.

    PubMed  CAS  Google Scholar 

  15. Brunner FP, Selwood NK. Results of renal replacement therapy in Europe, 1980-1987. Am J Kidney Dis 1990; 15: 384–396.

    PubMed  CAS  Google Scholar 

  16. Valderrabaño F, Berthoux FC, Jones EHP, Mehls O. Report on management of renal failure in Europe, XXV, 1994 End Stage Renal Disease and Dialysis Report. Nephrol Dial Transplant 1996; 11(Suppl 1): 2–21.

    PubMed  Google Scholar 

  17. Okada M.Mortality in chronic hemodialysis patients in Japan. Am J Kidney Dis 1990; 15: 410–413.

    Google Scholar 

  18. Disney APS. Dialysis treatment in Australia, 1982-1988. Am J Kidney Dis 1990; 15: 402–409.

    PubMed  CAS  Google Scholar 

  19. Posen GA, Jeffrey JR, Fenton SSA, Arbus GS. Results from the Canadian Renal Failure Registry. Am J Kidney Dis 1990; 15: 397–401.

    PubMed  CAS  Google Scholar 

  20. US Renal Data System [US RDS]. Annual data report. Bethesda MD: National Institutes of Health, 1991.

    Google Scholar 

  21. Iseki K et al. Low diastolic blood pressure, hypoalbuminemia, and risk of death in a cohort of chronic hemodialysis patients. Kidney Int 1997; 51: 1212–1217.

    PubMed  CAS  Google Scholar 

  22. Furth S, Hermann JA, Powe NR. Cardiovascular risk factors, comorbidity, and survival outcomes in black and white dialysis patients. Sem Dial 1998; 11: 102–105.

    Google Scholar 

  23. Mignon F et al. The management of uraemia in the elderly: treatment choices. Nephrol Dial Transplant 1995; 10(Suppl 6): 55–59.

    PubMed  Google Scholar 

  24. Becker BN, Himmelfarb J, Henrich WL, Hakim RM. Reassessing the cardiac risk profile in chronic hemodialysis patients: a hypothesis on the role of oxidant stress and other non-traditional cardiac risk factors. J Am Soc Nephrol 1997; 8: 475–486.

    PubMed  CAS  Google Scholar 

  25. Neves PL, Silva AP, Bernardo I. Elderly patients in chronic hemodialysis: risk factors for left ventricular hypertrophy. Am J Kidney Dis 1997; 30: 224–228.

    PubMed  CAS  Google Scholar 

  26. Nally JV. Cardiac disease in chronic uremia: investigation. Adv Renal Replacement Ther 1997; 4: 225–233.

    Google Scholar 

  27. Foley RN, Parfrey PS. Cardiac disease in uremia: clinical outcome and risk factors. Adv Renal Replacement Ther 1997; 4: 234–248.

    CAS  Google Scholar 

  28. Tucker B et al. Left ventricular hypertrophy and ambulatory blood pressure monitoring in chronic renal failure. Nephrol Dial Transplant 1997; 12: 724–728.

    Article  PubMed  CAS  Google Scholar 

  29. Baumgart P et al. Blood pressure elevation during the night in chronic renal failure, hemodialysis and after renal transplantation. Nephron 1991; 57: 293–298.

    PubMed  CAS  Google Scholar 

  30. Lipkin GW et al. Ambulatory blood pressure and left ventricular mass in cyclosporin and non-cyclosporin treated renal transplant recipients. J Hypertens 1993; 11: 439–442.

    PubMed  CAS  Google Scholar 

  31. Verdecchia P et al. Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension. Hypertension 1994; 24: 793–801.

    PubMed  CAS  Google Scholar 

  32. Woods JD et al. Vascular access survival among incident hemodialysis patients in the United States. Am J Kidney Dis 1997; 30: 50–57.

    PubMed  CAS  Google Scholar 

  33. Schwab SJ. Opinion: what can be done to preserve vascular access for dialysis? Semin Dial 1991; 4: 142–153.

    Google Scholar 

  34. Woods JD et al. Predictors of permanent vascular access placement prior to ESRD in U.S. hemodialysis patients. (Abstr.) J Am Soc Nephrol 1996; 7: 1424.

    Google Scholar 

  35. Hirth RA et al. Predictors of type of vascular access in patients starting hemodialysis. JAMA 1996; 276: 1303–1308.

    Article  PubMed  CAS  Google Scholar 

  36. Besarab A et al. Opinion: what can be done to preserve vascular access for dialysis? Semin Dial 1991; 4: 160–162.

    Google Scholar 

  37. Glanz S. Opinion: what can be done to preserve vascular access for dialyis? Semin Dial 1991; 4: 157–158.

    Google Scholar 

  38. Palder SB et al. Vascular access for hemodialysis. Ann Surg 1985; 202: 235–239.

    PubMed  CAS  Google Scholar 

  39. National Kidney Foundation. Dialysis outcome quality initiative clinical practice guideline for vascular access. Am J Kidney Dis 1997; 30(suppl 3): 150–191.

    Google Scholar 

  40. Waltzer WC. The surgical approach to dialysis access and transplantation in the elderly. In: Michelis MF, Davis BB, Preuss HG, editors. Geriatric nephrology. New York: Field, Rich and Associates, 1986; 23–128.

    Google Scholar 

  41. Churchill DN et al. Canadian hemodialysis morbidity study. Am J Kidney Dis 1992; 19: 214–234.

    PubMed  CAS  Google Scholar 

  42. Kario K, Matsuo T, Kobayashahi H. Heparin cofactor II deficiency in the elderly: comparison with antithrombin III. Thromb Res 1992; 66: 489–498.

    Article  PubMed  CAS  Google Scholar 

  43. Fan P-Y, Schwab SJ. Vascular access: concepts for the 1990s. Editorial Review. J Am Soc Nephrol 1992; 3: 1–11.

    PubMed  CAS  Google Scholar 

  44. Kaufman JL. Opinion: what can be done to preserve vascular access for dialysis? Semin Dial 1991; 4: 160–162.

    Google Scholar 

  45. Harter HR et al. Prevention of thrombosis in patients on hemodialysis by low-dose aspirin. N Engl J Med 1979; 301: 577–579.

    Article  PubMed  CAS  Google Scholar 

  46. Domoto DT, Bauman JE, Joist JH. Combined aspirin and sulfinpyrazone in the prevention of recurrent hemodialysis vascular access thrombosis. Thromb Res 1991; 62: 737–743.

    Article  PubMed  CAS  Google Scholar 

  47. Fox RC, Swazey JP, Cameron EM. Social and ethical problems in the treatment of end-stage renal disease patients. In: Narins RG, editor. Controversies in nephrology and hypertension. New York: Churchill Livingstone, 1984; 45–70.

    Google Scholar 

  48. Rothenberg LS. Withholding and withdrawing dialysis from elderly ESRD patients: Part I. A historical review of the clinical experience. Geriatr Nephrol Urol 1992; 2: 109–117.

    Article  PubMed  Google Scholar 

  49. Berlyne GM. Over 50 and uremic. Nephron 1982; 31: 189–190.

    PubMed  CAS  Google Scholar 

  50. Kjellstrand CM, Tyden G. Inequalities in chronic dialysis and transplantation in Sweden. Acta Med Scand 1988; 224: 149–156.

    Article  PubMed  CAS  Google Scholar 

  51. Kjellstrand CN, Logan GM. Racial, sexual and age inequalities in chronic dialysis. Nephron 1987; 45: 257–263.

    Article  PubMed  CAS  Google Scholar 

  52. Rozansky SJ, Jackson K. Rate of change of end-stage renal disease treatment incidence, 1978– 1987. Has there been selection? J Am Soc Nephrol 1992; 3: 1502–1506.

    Google Scholar 

  53. Moulton LH et al. Patterns of low incidence of treated endstage renal disease among the elderly. Am J Kidney Dis 1992; 20: 50–62.

    Google Scholar 

  54. Wetle T. Age as a risk factor for inadequate treatment. JAMA 1987; 258: 516.

    PubMed  CAS  Google Scholar 

  55. Klahr S. Rationing of health care and the end-stage renal disease program. Am J Kidney Dis 1990; 16: 393–395.

    Google Scholar 

  56. Cassel CK. Issues of age and chronic care: another argument for health care reform. J Am Geriatr Soc 1992; 40: 404–409.

    PubMed  CAS  Google Scholar 

  57. Pawlson LG, Glover JJ, Murphy DJ. An overview of allocation and rationing: implications for geriatrics. J Am Geriatr Soc 1992; 40: 628–634.

    PubMed  CAS  Google Scholar 

  58. Cummings NB. Ethical issues in geriatric nephrology: overview. Am J Kidney Dis 1990; 16: 367–371.

    PubMed  CAS  Google Scholar 

  59. Lamm RD. High technology health care. Am J Kidney Dis 1990; 16: 378–383.

    PubMed  CAS  Google Scholar 

  60. Brodeur D. Ethical issues in geriatric nephrology. Am J Kidney Dis 1990; 16: 372–373.

    PubMed  CAS  Google Scholar 

  61. Westlie L, Umen A, Nestrud S, Kjellstrand CM. Mortality, morbidity and life satisfaction in the very old dialysis patient. Trans Am Soc Artif Intern Organs 1984; 30: 21–30.

    PubMed  CAS  Google Scholar 

  62. Avram MR, Pena C, Burrell D et al. Hemodialysis and the elderly patient: potential advantages as to quality of life, urea generation, serum creatinine and less interdialytic weight gain. Am J Kidney Dis 1990; 16: 342–345.

    PubMed  CAS  Google Scholar 

  63. Kutner NG, Brogan DJ. Assisted survival, aging, and rehabilitation needs: comparison of older dialysis patients and age-matched peers. Arch Phys Med Rehabil 1992; 73: 309–315.

    Article  PubMed  CAS  Google Scholar 

  64. Kutner NG, Cardenas DD, Bower JD. Rehabilitation, aging and chronic renal disease. Am J Phys Med Rehabil 1992; 71: 97–101.

    PubMed  CAS  Google Scholar 

  65. Husebye DG, Kjellstrand CM. Old patients and uremia: rates of acceptance to and withdrawal from dialysis. Int J Artif Organs 1987; 10: 166–172.

    PubMed  CAS  Google Scholar 

  66. National Kidney Foundation. Initiation and withdrawal of dialysis in end-stage renal disease: guidelines for physicians and the care team. New York, 1996.

  67. The Kidney Foundation of Canada. Living with kidney disease. Montreal, Quebec: The National Office of the Kidney Foundation of Canada, 1995.

    Google Scholar 

  68. Moss AH. To use dialysis appropriately: the emerging consensus on patient selection guidelines. Adv Renal Replacement Ther 1995; 2: 175–183.

    CAS  Google Scholar 

  69. Holley, Finucane TE, Moss AH. Dialysis patients’ attitudes about cardiopulmonary resuscitation and stopping dialysis. Am J Nephrol 1989; 9: 245–251.

    Article  PubMed  CAS  Google Scholar 

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  1. Internal Medicine, St Louis University School of Medicine, and Clinical Nephrology, St Louis VA Medical Center, St Louis, Missouri, USA

    Wendy W. Brown

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Brown, W.W. Hemodialysis in elderly patients. Int Urol Nephrol 32, 127–135 (2000). https://doi.org/10.1023/A:1007167030245

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