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Hemodialysis in the Elderly

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Clinical Nephrogeriatrics

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Abstract

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.

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Authors and Affiliations

  1. University of Medicine “Grigore T. Popa” and University Hospital “C. I. Parhon”, Iasi, Romania

    Luminita Voroneanu & Adrian Covic

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  1. Luminita Voroneanu
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  2. Adrian Covic
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Editors and Affiliations

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

    Carlos Guido Musso

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

    José Ricardo Jauregui

  3. Departamento de Medicina, Salamanca, Spain

    Juan Florencio Macías-Núñez

  4. University of Medicine “Grigore T. Popa” and University Hospital “C. I. Parhon”, Iasi, Romania

    Adrian Covic

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Voroneanu, L., Covic, A. (2019). Hemodialysis in the Elderly. In: Musso, C., Jauregui, J., Macías-Núñez, J., Covic, A. (eds) Clinical Nephrogeriatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-18711-8_10

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