老年终末期肾病的姑息治疗与透析治疗:有哪些考虑?

Palliative Care Pub Date : 2017-10-09 eCollection Date: 2017-01-01 DOI:10.1177/1178224217735083

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

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引用次数: 5

摘要

随着美国人口持续老龄化，85岁及以上(最高龄)个体的终末期肾病(ESRD)新病例正在增加。许多患者开始血液透析，尽管有问题的好处可能斗争高症状负担和快速功能下降。本文回顾了医疗ESRD项目的资助和发展历史，回顾了目前针对老年ESRD患者的方法，并考虑了改善这一弱势群体管理方法的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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

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.

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来源期刊

Palliative Care

自引率

0.00%

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审稿时长

15 weeks

期刊介绍： Palliative Care and Social Practice is an international, peer-reviewed, open access journal that publishes articles on all aspects of palliative care. It welcomes articles from symptom science, clinical practice, and health services research. However, its aim is also to publish cutting-edge research from the realm of social practice - from public health theory and practice, social medicine, and social work, to social sciences related to dying and its care, as well as policy, criticism, and cultural studies. We encourage reports from work with under-represented groups, community development, and studies of civic engagement in end of life issues. Furthermore, we encourage scholarly articles that challenge current thinking about dying, its current care models and practices, and current understandings of grief and bereavement. We want to showcase the next generation of palliative care innovation research and practice - in clinics and in the wider society. Relaunched in July 2019. Partnered with Public Health Palliative Care International (PHPCI) (Title 2008-2018: - Palliative Care: Research and Treatment)