Prolonged conservative treatment for frail elderly patients with end-stage renal disease: The Verona experience

Nephrology Dialysis Transplantation

Volumn 23, Issue 4, 2008, Pages 1313-1317

  De Biase, Vincenzo ^a   Tobaldini, Olga ^a   Boaretti, Claudia ^a   Abaterusso, Cataldo ^a   Pertica, Nicoletta ^a   Loschiavo, Carmelo ^a   Trabucco, Gaetano ^a   Lupo, Antonio ^a   Gambaro, Giovanni ^a,b  

^a UNIVERSITY HOSPITAL OF VERONA   (Italy)

^b MAGGIORE HOSPITAL   (Italy)

Author keywords

Caregiver; Conservative treatment; Dialysis; Frail; Quality of life

Indexed keywords

AGED; ARTICLE; CLINICAL ARTICLE; COMORBIDITY; CONSERVATIVE TREATMENT; CONTROLLED STUDY; DISEASE COURSE; FEMALE; FOLLOW UP; FRAIL ELDERLY; HEMODIALYSIS; HOSPITALIZATION; HUMAN; KIDNEY FAILURE; MALE; PRACTICE GUIDELINE; PRIORITY JOURNAL; PSYCHOMETRY; QUALITY OF LIFE; CHRONIC KIDNEY FAILURE; COMPARATIVE STUDY; GLOMERULUS FILTRATION RATE; ITALY; LENGTH OF STAY; METHODOLOGY; MORBIDITY; PATHOPHYSIOLOGY; RENAL REPLACEMENT THERAPY; RETROSPECTIVE STUDY; SURVIVAL RATE; TIME; TREATMENT OUTCOME;

DIURETIC AGENT; ERYTHROPOIETIN; FUROSEMIDE;

AGED; AGED, 80 AND OVER; DIURETICS; ERYTHROPOIETIN; FEMALE; FOLLOW-UP STUDIES; FRAIL ELDERLY; FUROSEMIDE; GLOMERULAR FILTRATION RATE; GUIDELINE ADHERENCE; HUMANS; ITALY; KIDNEY FAILURE, CHRONIC; LENGTH OF STAY; MALE; MORBIDITY; QUALITY OF LIFE; RENAL DIALYSIS; RETROSPECTIVE STUDIES; SURVIVAL RATE; TIME FACTORS; TREATMENT OUTCOME;

EID: 42949159899     PISSN: 09310509     EISSN: 14602385     Source Type: Journal    
DOI: 10.1093/ndt/gfm772     Document Type: Article

References (18)

1. Fenwick S, Saxena R, Harper JM. Dialysis: when to start or when to stop? Nephrol Dial Transplant 2004; 19: 1022
2. Wenger NS, Shekelle PG, (the ACOVE investigators). Quality indicators for assessing care of vulnerable elders. Ann Intern Med 2001; 135: 642-646
3. Chandna SM, Schulz J, Lawrence C et al. Is there a rationale for rationing chronic dialysis? A hospital based cohort study of factors affecting survival and morbidity. BMJ 1999; 318: 217-223
4. Williams B, McDaid L, Walzer R et al. Maximum conservative management of end-stage renal failure. What can patients and their families expect? (abstract). Renal Association Autumn Meeting, Royal College of Physicians of London, UK, 2002; Poster 52, 74
5. Smith C, Da Silva-Gane M, Chandna S et al. Choosing not to dialyse: evaluation of planned non-dialytic management in a cohort of patients with end-stage renal failure. Nephron Clin Pract 2003; 95: c40-c46
6. Galla JH. Clinical practice guideline on shared decision-making in the appropriate initiation of and withdrawal from dialysis. J Am Soc Nephrol 2000; 11: 1340-1342
7. Società Italiana di Nefrologia, Guidelines. http://www.sin-italy. org/sinphony/lineeguida/linee.htm (22 August 2007, date last accessed)
8. Min LC, Elliott MN, Wenger NS et al. Higher Vulnerable Elders Survey scores predict death and functional decline in vulnerable older people. J Am Geriatr Soc 2006; 54: 507-511
9. Levey AS, Greene T, Kusek JW et al. A simplified equation to predict glomerular filtration rate from serum creatinine. J Am Soc Nephrol 2000; 11: A0828 (abstract)
10. Michalak EE, Tam EM, Manjunath CV et al. Estimating depression prevalence form the Beck Depression Inventory: is season of administration a moderator. Psychiatric Res 2004; 129: 99-106
11. Folstein MF, Folstein SE, McHugu PR. "Mini-Mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatric Res 1975; 12: 189-198
12. Spielberger CD. STAI State-Trait Anxiety Inventory, Forma Y. Organizzazioni Speciali, Firenze, I, 1989
13. Apolone G, Mosconi P, John E et al. Questionario sullo Stato di Salute SF36. Angelo Guerini e associati SpA, Milano, I, 1997
14. Novak M, Guest C. Application of a multidimensional Care-giver Burden Inventory. Gerontologist 1989; 29: 798-803
15. Levy JB, Chambers EJ, Brown EA. Supportive care for the renal patient. Nephrol Dial Transplant 2004; 19: 1357-1360
16. Weisbord SD, Carmodt SS, Bruns FG et al. Symptom burden, quality of life, advance care planning and the potential value of palliative care in severely ill haemodialysis patients. Nephrol Dial Transplant 2003; 18: 1345-1352
17. Murtagh FE, Marsh JE, Donohoe P et al. Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5. Nephrol Dial Transplant 2007; 22: 1955-1962
18. Murtagh FE, Addington-Hall JM, Donohoe P et al. Symptom management in patients with established renal failure managed without dialysis. EDTNA ERCA J 2006; 32: 93-98