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Hemodialysis in Elderly Patients

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Nephrology and Geriatrics Integrated

Abstract

As the general population in North America ages, those with end-stage renal disease age even more rapidly: the fasting growing segment of the dialysis population are those 65 years of age and older [1]. Table 1 shows the point prevalence and rates of end-stage renal disease (ESRD) by age group for the United States on Dec. 31, 1996: The incidence of ESRD per million people for the population as a whole was 1048; for those 65-74 years of age, it was 3518. Those 65 years of age and older represented 33.5% of the 283 932 patients with ESRD [1], Table 2 shows the ESRD incidence data for the same period. Of new patients beginning renal replacement therapy, more than 46% were 65 years of age and older [1]. It is estimated that more than 60% of new patients will be 65 years of age and older by the year 2000 [2]. Geriatric patients are more likely to have diabetes and hypertension than younger patients, they are more likely to be members of a minority group, and frequently have limited social and financial resources [1, 3–7].

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Author information

Authors and Affiliations

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

    Wendy W. Brown

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  1. Wendy W. Brown
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Editors and Affiliations

  1. The Toronto Hospital, Toronto, Ontario, Canada

    Dimitrios G. Oreopoulos

  2. J. Paul Sticht Center on Aging, Wake Forest University School of Medicine, Winston-Salem, NC, USA

    William R. Hazzard

  3. University of Cincinnati Medical Center, Cincinnati, OH, USA

    Robert Luke

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Brown, W.W. (2000). Hemodialysis in Elderly Patients. In: Oreopoulos, D.G., Hazzard, W.R., Luke, R. (eds) Nephrology and Geriatrics Integrated. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4088-1_11

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  • DOI: https://doi.org/10.1007/978-94-011-4088-1_11

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5795-0

  • Online ISBN: 978-94-011-4088-1

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