Power Albert, Brown Edwina
Imperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK.
Nephron Clin Pract. 2013;124(3-4):202-8. doi: 10.1159/000357433. Epub 2014 Jan 4.
The features of ageing complicate the management of end-stage renal disease. These complicate all dialysis modalities and will greatly affect the ability to cope with interventional treatments and quality of life. The presence of other illnesses and comorbidity associated with kidney disease mean that many patients have a poor prognosis. It is therefore important to consider the impact of dialysis on lifestyle and whether survival will actually be improved for frail older patients. This review article considers how haemodialysis and peritoneal dialysis can be adjusted for older patients, and, in particular, how the use of assistance makes peritoneal dialysis more feasible. Most importantly, older patients should be given realistic information about their prognosis and how they can cope with different treatment options, and then they should be involved in the decisions about their management.
衰老的特征使终末期肾病的管理变得复杂。这些因素使所有透析方式都变得复杂，并将极大地影响应对介入治疗的能力和生活质量。其他疾病的存在以及与肾病相关的合并症意味着许多患者预后不佳。因此，重要的是要考虑透析对生活方式的影响，以及对于体弱的老年患者，生存是否真的会得到改善。这篇综述文章探讨了如何针对老年患者调整血液透析和腹膜透析，特别是使用辅助手段如何使腹膜透析更可行。最重要的是，应该向老年患者提供关于其预后以及如何应对不同治疗选择的实际信息，然后让他们参与有关其治疗管理的决策。
