Hemodialysis in the Elderly

  • Luminita Voroneanu
  • Adrian Covic


Management of elderly people with end-stage renal disease is difficult. This type of patients’ needs to know all the proper information about prognosis, about the natural history of their disease without dialysis. Also they need to know all the implications, outcomes and subsequent complications of the diverse dialysis modalities. Elderly patients on dialysis classically receive in center hemodialysis, and only a small proportion is on peritoneal dialysis. However, hemodialysis can be complicated by vascular access- related problems, decreased tolerance to ultrafiltration and an amplified risk of hypotension, brain injury, dementia, and an increased risk of accidental falls. Peritoneal dialysis, an alternative choice, can be problematic because of functional impairment and cognitive dysfunction. Incremental dialysis, changes in hemodialysis frequency, or assisted peritoneal dialysis could be used as a substitute and can ameliorate quality of life in elderly patients.


Elderly Hemodialysis Incremental dialysis Vascular access 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Luminita Voroneanu
    • 1
  • Adrian Covic
    • 1
  1. 1.University of Medicine “Grigore T. Popa” and University Hospital “C. I. Parhon”IasiRomania

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