Chronic kidney disease in the elderly

Clin Geriatr Med. 2013 Aug;29(3):611-24. doi: 10.1016/j.cger.2013.05.003.

Abstract

Chronic kidney disease (CKD) is increasingly being recognized as a disease of elderly individuals. In recent years the definition and categorization of kidney disease has been standardized. There are concerns that this standardization has led to an increase in the number of older individuals labeled as having CKD. This article addresses the definitions of CKD, recently published revised CKD stages with risk stratifications, and limitations of using formulas to assess renal function in the elderly. Also discussed are management of common risk factors of progression CKD, nonrenal-related outcomes, prognosis of CKD in older individuals, and criteria for referral to nephrology.

Keywords: Chronic kidney disease; Dialysis; Elderly; Geriatric; Renal function.

Publication types

  • Review

MeSH terms

  • Aged
  • Aging*
  • Bias
  • Disease Management
  • Disease Progression
  • Geriatric Assessment
  • Humans
  • Kidney / physiopathology*
  • Kidney Function Tests / methods
  • Kidney Function Tests / standards
  • Monitoring, Physiologic / methods
  • Monitoring, Physiologic / standards
  • Organ Dysfunction Scores
  • Patient Acuity
  • Patient Outcome Assessment
  • Renal Dialysis / methods*
  • Renal Insufficiency, Chronic* / diagnosis
  • Renal Insufficiency, Chronic* / epidemiology
  • Renal Insufficiency, Chronic* / physiopathology
  • Risk Factors