Dialysis in the Elderly

  • Eirini Grapsa
  • Dimitrios G. Oreopoulos


The aged are a heterogeneous group and an individual’s chronological age does not necessarily reflect his or her physiological status. The commonly used cut off of 65 years to designate an individual as elderly is arbitrary; Bismark in Germany first used this milestone to identify those individuals who would be entitled to social benefits. In 1900 only 4% of the Western world’s population was over 65 years of age, but now this fraction is 12% and rising (1). This progressive increase in the ranks of the elderly and the success of dialysis have produced a dramatic increase in the numbers of elderly dialysis patients worldwide. Thus in the United States 47% of those on dialysis are over 65, and this fraction is expected to increase to over 60% by the end of this century (2). In Canada in 1989, 35% of end-stage renal disease (ESRD) patients were over the age 65, compared to 25% in 1981 (3). A similar trend has been reported by the European Renal Association Registry; in 1980, only 11% of patients starting renal replacement therapy were older than 65 years whereas by 1987 this proportion had increased to nearly 30% (4).


Peritoneal Dialysis Renal Replacement Therapy Dialysis Patient ESRD Patient Continuous Ambulatory Peritoneal Dialysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Eirini Grapsa
    • 1
  • Dimitrios G. Oreopoulos
    • 1
  1. 1.Division of NephrologyToronto Hospital - Western DivisionTorontoCanada

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