Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?

Lyle S. Walton; Gregory D. Shumer; Björg Thorsteinsdottir; Theodore Suh; Keith M. Swetz

doi:10.1177/1178224217735083

Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?

Lyle S. Walton, Gregory D. Shumer, Björg Thorsteinsdottir, Theodore Suh, Keith M. Swetz

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

Abstract

As the US population continues to age, new cases of end-stage renal disease (ESRD) in individuals, aged 85 years or older (the oldest old), are increasing. Many patients who begin hemodialysis despite questionable benefit may struggle with high symptom burden and rapid functional decline. This article reviews the history regarding the funding and development of the Medicare ESRD program, reviews current approaches to the oldest old with ESRD, and considers strategies to improve the management approach of this vulnerable population.

Original language	English (US)
Journal	Palliative Care
Volume	10
DOIs	https://doi.org/10.1177/1178224217735083
State	Published - Feb 17 2017

Keywords

End-stage renal disease
Medicare
hemodialysis
palliative care
renal replacement therapy

ASJC Scopus subject areas

Advanced and Specialized Nursing

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10.1177/1178224217735083

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title = "Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?",

abstract = "As the US population continues to age, new cases of end-stage renal disease (ESRD) in individuals, aged 85 years or older (the oldest old), are increasing. Many patients who begin hemodialysis despite questionable benefit may struggle with high symptom burden and rapid functional decline. This article reviews the history regarding the funding and development of the Medicare ESRD program, reviews current approaches to the oldest old with ESRD, and considers strategies to improve the management approach of this vulnerable population.",

keywords = "End-stage renal disease, Medicare, hemodialysis, palliative care, renal replacement therapy",

author = "Walton, {Lyle S.} and Shumer, {Gregory D.} and Bj{\"o}rg Thorsteinsdottir and Theodore Suh and Swetz, {Keith M.}",

note = "Publisher Copyright: {\textcopyright} 2017, {\textcopyright} The Author(s) 2017.",

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T1 - Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old

T2 - What are the Considerations?

AU - Walton, Lyle S.

AU - Shumer, Gregory D.

AU - Thorsteinsdottir, Björg

AU - Suh, Theodore

AU - Swetz, Keith M.

PY - 2017/2/17

Y1 - 2017/2/17

N2 - As the US population continues to age, new cases of end-stage renal disease (ESRD) in individuals, aged 85 years or older (the oldest old), are increasing. Many patients who begin hemodialysis despite questionable benefit may struggle with high symptom burden and rapid functional decline. This article reviews the history regarding the funding and development of the Medicare ESRD program, reviews current approaches to the oldest old with ESRD, and considers strategies to improve the management approach of this vulnerable population.

AB - As the US population continues to age, new cases of end-stage renal disease (ESRD) in individuals, aged 85 years or older (the oldest old), are increasing. Many patients who begin hemodialysis despite questionable benefit may struggle with high symptom burden and rapid functional decline. This article reviews the history regarding the funding and development of the Medicare ESRD program, reviews current approaches to the oldest old with ESRD, and considers strategies to improve the management approach of this vulnerable population.

KW - End-stage renal disease

KW - Medicare

KW - hemodialysis

KW - palliative care

KW - renal replacement therapy

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VL - 10

JO - Palliative Care

JF - Palliative Care

ER -

Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?

Abstract

Keywords

ASJC Scopus subject areas

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