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Frailty in Older Dialysis Patients

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Frailty and Kidney Disease

Abstract

In older patients with chronic kidney disease (CKD), the issue of frailty emerges as a challenging condition, from multiple points of view: first, CKD is an accelerator of aging (via deleterious processes like protein-energy wasting and chronic inflammation), and this can explain the high prevalence of frailty in this population. Second, identifying risk factors and combating frailty in dialysis patients is important because of the negative impact of frailty on health outcomes: increased risk for falls, hospitalization, dependence/disability leading to greater healthcare costs, decreased quality of life, and death. Management of frailty in dialysis population requires a multidisciplinary approach, with emphasis on comprehensive geriatric assessment, maintaining nutritional status, and individualized physical activity.

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Authors and Affiliations

  1. University of Medicine and Pharmacy Grigore T. Popa, Iasi, Romania

    Adina Carmen Ilie, Andra Nastasa & Adrian Covic

  2. Division of Geriatric Medicine & Gerontology, Dr.C.I. Parhon Hospital, Iasi, Romania

    Adina Carmen Ilie

  3. Nephrology Division, Dr.C.I. Parhon Hospital, Iasi, Romania

    Andra Nastasa & Adrian Covic

  4. Physiology Department, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Victoria Paula Musso-Enz & Carlos Guido Musso

  5. Nephrology Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Carlos Guido Musso

  6. Facultad de Ciencias de la Salud, Universidad Simón Bolívar, Barranquilla, Colombia

    Carlos Guido Musso

  7. Ageing Biology Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Carlos Guido Musso

Authors
  1. Adina Carmen Ilie
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  2. Andra Nastasa
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  3. Victoria Paula Musso-Enz
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  4. Carlos Guido Musso
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  5. Adrian Covic
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Correspondence to Carlos Guido Musso .

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Editors and Affiliations

  1. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Carlos Guido Musso

  2. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    José Ricardo Jauregui

  3. University of Salamanca, Salamanca, Spain

    Juan Florencio Macías-Núñez

  4. Grigore T. Popa University of Medicine, Iasi, Romania

    Adrian Covic

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Ilie, A.C., Nastasa, A., Musso-Enz, V.P., Musso, C.G., Covic, A. (2021). Frailty in Older Dialysis Patients. In: Musso, C.G., Jauregui, J.R., Macías-Núñez, J.F., Covic, A. (eds) Frailty and Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-53529-2_12

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  • DOI: https://doi.org/10.1007/978-3-030-53529-2_12

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  • Print ISBN: 978-3-030-53528-5

  • Online ISBN: 978-3-030-53529-2

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