Abstract
As life expectancy has increased, so has the number of the elderly population that have developed end stage renal disease. Ultimately, thet may face the choice of whether to dialyze or not. This chapter will look at the challenges this elderly group faces and the benefits that home hemodialysis may offers. It is proposed that this mode of dialysis offers a viable option to the current in-center therapies for the high comorbidity population. As dialysis system become more user friendly and the benefits of home hemodialysis become more apparent, it is important to introduce information about treatment options early in the patient’s disease process. Early education and encouragement for both patient and their support system become the keys to both acceptance and success.
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References
U.S. renal data system. USRDS 2005 annual data report: atlas of end-stage renal disease in the United States (2005). National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda
List of countries by life expectancy (2010). In: Wikipedia, the free encyclopedia. Retrieved 06 Feb 2013 from http://en.wikipedia.org/w/index.php?title=List_of_countries_by_life_expectancy&oldid=536580534
Walls J (1990) Dialysis in the elderly; some U.K. experience. Adv Perit Dial 6:82
Dirks JH, Levin NW (2006) Dialysis rationing in South Africa: a global message. Kidney Int 70:982–984
Nose Y (1995) Home hemodialysis. A crazy idea in 1963. A memoir. ASAIO J 46:13–17
Disney AP (1995) Demography and survival of patients receiving treatment for chronic renal failure in Australia and New Zealand: report on dialysis and renal transplantation treatment from the Australia and New Zealand Dialysis and Transplant Registry. Am J Kidney Dis 25(1):165–175
MacGregor MS, Agar JW, Blagg CR (2006) Home haemodialysis – international trends and variation. Nephrol Dial Transplant 21:1934–1945
Abdel-Rahman EM, Yan G, Turgut F, Balogun RA (2011) Long-term morbidity and mortality related to falls in hemodialysis patients: role of age and gender – a pilot study. Nephron Clin Pract 118(3):c278–c284
Ipema KJ, van der Schans CP, Vok N, deVries JM, Westerhuis R, Duym E, Franssen CF (2012) A difference between day and night: protein intake improves after the transition from conventional to frequent nocturnal hemodialysis. J Ren Nutr 22(3):365–372
Hanly PJ, Pierratos A (2001) Improvement of sleep apnea in patients with chronic renal failure who undergo nocturnal hemodialysis. N Engl J Med 344(2):102–107
Cornelis T, Kotanko P, Goffin E, Kooman JP, van der Sande FM, Chan CT (2011) Can intensive hemodialysis prevent loss of functionality in the elderly ESRD patient? Semin Dial 24(6):645–652
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Ross, D.L., Schrag, W.F., Pond, P. (2016). The Pros and Cons of Home vs. In-Center Dialysis in the Elderly. In: Misra, M. (eds) Dialysis in Older Adults. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3320-4_4
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DOI: https://doi.org/10.1007/978-1-4939-3320-4_4
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