Enfermedad renal «oculta» en ancianos: ¿deja de ocultarse a los 10 años de seguimiento?

Heras, Manuel; Guerrero, María Teresa; Fernández‐Reyes, María José; Muñoz, Angélica

doi:10.1016/j.nefro.2016.10.008

Cited by 3 publications

(11 citation statements)

References 2 publications

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“…It was found that more than three quarters of the patients had been suffering from a kidney problem for at least five years which had evolved until requiring renal replacement therapy. Some authors, such as Heras et al [56], found controversies in establishing the time of evolution of the disease.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research

Sitjar-Suñer

Soler

Masià-Plana

et al. 2020

IJERPH

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Although some study has been made into quality of life in patients with peritoneal dialysis, little is known about how this relates to social support. The aim of this paper was to study health-related quality of life, perceived social support and the experiences of people receiving peritoneal dialysis. A cross-sectional study was conducted using quantitative and qualitative methodologies, between June 2015 and March 2017. Fifty-five patients receiving peritoneal dialysis were studied. The most affected quality of life dimensions were the effects of the disease, the burden of the disease, occupational status, sleep and satisfaction. The physical component of the quality of life questionnaire was negatively associated with the number of hospital admissions over the previous year (p = 0.027) and positively associated with social support (p = 0.002). With regard to the mental component, age (p = 0.010) and social support (p = 0.041) were associated with a better quality of life. Peritoneal dialysis, while not a panacea, is experienced as being less aggressive than hemodialysis, allowing greater autonomy and improved perceived health. Greater symptomology corresponded to worse quality of life and to perceiving the disease as a burden. Patients had to adapt to the new situation despite their expectations. Social support was observed to be a key factor in perceived quality of life.

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Section: Discussionmentioning

confidence: 99%

Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research

Sitjar-Suñer

Soler

Masià-Plana

et al. 2020

IJERPH

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“…While CKD's prevalence diagnosis increases, the proportion of elderly patients who develop terminal CKD is lower than in younger population groups (1,5,6). Moreover, many elderly patients do not die from terminal renal insufficiency but mainly from cardiovascular pathologies (11). Authors such as Locatelli F et al and Mora-Gutieŕrez JM et al, emphasize that the central axis of the management of the elderly patient must be the control of the cardiovascular risk factors more than the strict control of the eGFR (5,6).…”

Section: Discussionmentioning

confidence: 99%

“…This raises a debate about whether the reduction of GFR that occurs with age should be considered as "disease" or as "age-related decline" (1,5,(7)(8)(9)(10); and if a Nephrology specialist's follow-up of the geriatric population represents an advantage for its evolution and prognosis compared to GP's management alone (1,5,7,(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

“…Chronic kidney disease (CKD) has increased its prevalence among patients over 65 years old ( 1 ). In Spain, there are 4 million people affected, and it is estimated that 22% of people over 64 and 40% of those over 80 years old meet the criteria for diagnosis ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

“…Several epidemiological studies of Nephrology societies have shown that known CKD is the tip of the iceberg of what is considered hidden kidney disease, which could lead to a worldwide epidemic ( 3 , 4 ). This pathology represents a significant public health issue with tremendous socioeconomic impact.…”

Section: Introductionmentioning

confidence: 99%

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Octogenarians with chronic kidney disease in the nephrology clinic: Progressors vs. non-progressors

Frías

Vargas²,

Pérez³

et al. 2023

Front. Nephrol.

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BackgroundThe current definition of chronic kidney disease applied to patients over the age of 80 has increased the number of referrals to Nephrology. However not all of these patients may benefit from its assessment. This study aims to analyze the evolution of ≥80 years old patients referred to Nephrology.MethodsSingle-center study including patients ≥80 years old with eGFR <60 mL/min/1,73m2 who were referred to Nephrology consultation for the first time. Clinical and analytical parameters were collected retrospectively 12 months before the visit, and prospectively at baseline, and 12 and 24 months after the initial visit. We divided patients into two groups based on annual eGFR loss: progressors (>5 mL/min/1.73m2) and non-progressors (≤5 mL/min/1,73m2).ResultsA total of 318 patients were included, mean age was 84,9 ± 4 (80-97) years. Baseline serum creatinine was 1,65 ± 0,62 mg/dL, eGRF 35 (28-42) mL/min/1,73, and albumin/creatinine ratio 36 (7-229) mg/g. 55,7% of the patients met the definition of progressor at baseline (initial-progressors), 26,3% were progressors after a 12-month follow-up and 13,4% after 24 months. 21,2% and 11,4% of initial-progressors met this definition at 12 and 24 month follow up. The main risk factor for progression was albuminuria. No relationship was found between the nephrologist intervention and the evolution of renal function among initial non-progressors.ConclusionElderly patients who have stable renal function at the time of referral will continue to have stable renal function over the subsequent 24 months and thus may not need to be referred to a nephrologist.

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Características basales de los pacientes nonagenarios ingresados por fracaso renal agudo en comparación con otros grupos etarios

Santos

Sanz

Ramos

et al. 2020

Revista Española de Geriatría y Gerontología

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Enfermedad renal «oculta» en ancianos: ¿deja de ocultarse a los 10 años de seguimiento?

Cited by 3 publications

References 2 publications

Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research

Quality of Life and Social Support of People on Peritoneal Dialysis: Mixed Methods Research

Octogenarians with chronic kidney disease in the nephrology clinic: Progressors vs. non-progressors

Características basales de los pacientes nonagenarios ingresados por fracaso renal agudo en comparación con otros grupos etarios

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