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Elderly persons frequently experience acute kidney injury (AKI). Although studies describing its incidence in this population are difficult to compare because definitions of AKI vary dramatically from study to study, it is clear that the elderly are at the very highest risk for developing the condition. Indeed, Feest and coworkers (
Over the past 25 years, the mean age of patients with AKI has increased by at least five years and perhaps as much as
Chronic kidney disease (CKD) is likely to be the most common condition managed by practicing nephrologists in elderly patients attending a nephrology clinic. Why? Because the majority of individuals with renal disease are 65 or older (
Prevalence of CKD in NHANES 1988–-1994 and 1999–2004 by age group (reprinted from
Although it is a common condition, and each one of us is clearly able to manage CKD, many would argue that CKD should be considered a different disease for
Chronic kidney disease (CKD) is a relatively common condition in the older American population. An estimated 26 million people in the United States are reported to have CKD. As the population of Americans 65 and older grows, so does the incidence of CKD. Evidence now indicates that kidney disease and aging carry a significant risk for cardiovascular complications and sudden death.
The progressive physiological changes with the aging process are inevitable: Aging-associated changes in carbohydrate metabolism and vascular atherosclerosis markedly increase the risk of developing diabetes and hypertension, and these high incidences of comorbid conditions may also lead to a
Hypertension is common in people 60 and older. With increasing age, it is more likely that someone will experience hypertension and die of coronary heart disease even in the prehypertension range (
U.S. census data show that the population of individuals over 65 in the United States is growing rapidly and is expected to double over the next 20 years. This means that current fellows can expect to see an increasing number of older patients in professional practice. Average life expectancy is currently around 75.2 years for men and 80.4 years for women, and continues to rise. During the 1990s, the fastest growing population was that of individuals over 85, with 38 percent annual growth, and this group is the largest consumer of health care services.
Of the 35 million people over
The end stage renal disease (ESRD) end-of-life coalition was developed by a diverse group of individuals committed to patient-centered end-of-life care for ESRD patients, their families, and their health care providers.
Between March 2000 and October 2001, a Robert Wood Johnson Workgroup focusing on end-of-life issues in the ESRD population addressed quality of life, quality of dying, and educational needs, culminating in a published report (
In the United States, the number of end stage renal disease (ESRD) patients on maintenance dialysis has increased 20 percent in the last decade to 1700 per million, and 100,000 new cases are added every year. The largest increase in both incident and prevalent cases of ESRD has been in individuals ≥65, with rates three- to fourfold higher compared with younger individuals (
In the United States, as in many other developed countries, the incidence of treated end stage renal disease (ESRD) increases with advancing age; the highest rates are observed in individuals between the ages of 75 and 79 (
Incidence
A new calendar year, like a blank page, brings the promise of things to come.
Changes to healthcare administration, especially dialysis services, dominated the responses. The Affordable Healthcare Act, bundling of dialysis payments, and the resurrection of CROWNWeb all raise more questions than answers for our community.
The past year brought a prototype implantable kidney and the first bioengineering session at Renal Week. Technological advances clearly form another “thing
A blog, short for web log, is a user-generated web site. It may serve as a personal diary, an educational tool, a social outlet, or the web presence for a business. Blogs can be text and pictures, but may also include audio or video files. Blogs generally link to other websites such as source materials, and most include a mechanism for comments to generate online discussion. For an excellent example of useful blogs, see Renal Fellow Network (
A wiki is a group-edited document. One person may write an entry,
