Consider quality of life assessment in initiating renal replacement therapy.
Geriatric patient with end stage renal disease (ESRD).
Initiating RRT in a geriatric patient with ESRD.
- To review the current evidence based recommendations regarding when to initiate RRT in geriatric patients
- To outline multiple methods that can be used to evaluate a geriatric patient’s candidacy for RRT
- American Society of Nephrologists Online Geriatric Curriculum http://www.asn-online.org/education/
- Rosansky, SJ; Clark, WF; Eggers, P and Glassock, RJ. Initiation of dialysis at higher GFRs: is the apparent rising tide of early dialysis harmful or helpful? International Society of Nephrology, 2009.
- Kurella Tamura M, Covinsky KE, Chertow GM, Yaffe K, Landefeld CS, McCulloch CE. Functional status of elderly adults before and after initiation of dialysis. N Engl J Med 2009; 361:1539-1547.
- Alexander R, Smith K, Williams BA, and Lo B. Discussing Overall Prognosis with the Very Elderly. N Engl J Med 2011; 365:2149-2151.
Users are free to download and distribute Geriatric Fast Facts for informational, educational, and research purposes only. Citation: Christopher J Anderson, Edmund Duthie MD, Fast Fact #006: Initiating Renal Replacement Therapy (RRT) in Geriatric Patients, March, 2012.
Disclaimer: Geriatric Fast Facts are for informational, educational and research purposes only. Geriatric Fast Facts are not, nor are they intended to be, medical advice. Health care providers should exercise their own independent clinical judgment when diagnosing and treating patients. Some Geriatric Fast Facts cite the use of a product in a dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used.