American Journal of Kidney Diseases
Volume 53, Issue 6 , Pages 925-927 , June 2009

The Management of Older Adults With a Low eGFR: Moving Toward an Individualized Approach

  • Ann M. O'Hare, MA, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Ann M. O'Hare, MA, MD, University of Washington, Primary and Specialty Medicine Service Line, VA/Puget Sound Medical Center, Nephrology and Renal Dialysis Unit, Bldg 100, Rm 5B113, 1660 S Columbian Way, Seattle, WA 98108

References 

  1. Coresh J, Selvin E, Stevens LA, et al. Prevalence of chronic kidney disease in the United States. JAMA. 2007;298:2038–2047
  2. Glassock RJ, Winearls C. An epidemic of chronic kidney disease: Fact or fiction?. Nephrol Dial Transplant. 2008;23:1117–1121
  3. Glassock RJ, Winearls C. Screening for CKD with eGFR: Doubts and dangers. Clin J Am Soc Nephrol. 2008;3:1563–1568
  4. Poggio ED, Rule AD. A critical evaluation of chronic kidney disease—Should isolated reduced estimated glomerular filtration rate be considered a ‘disease’?. Nephrol Dial Transplant. 2008;24:698–700
  5. Stevens LA, Coresh J, Levey AS. CKD in the elderly—Old questions and new challenges: World Kidney Day 2008. Am J Kidney Dis. 2008;51:353–357
  6. Roderick P, Atkins RJ, Smeeth L, et al. CKD and mortality risk in older people: A community-based population study in the United Kingdom. Am J Kidney Dis. 2009;53:950–960
  7. Drey N, Roderick P, Mullee M, Rogerson M. A population-based study of the incidence and outcomes of diagnosed chronic kidney disease. Am J Kidney Dis. 2003;42:677–684
  8. John R, Webb M, Young A, Stevens PE. Unreferred chronic kidney disease: A longitudinal study. Am J Kidney Dis. 2004;43:825–835
  9. O'Hare AM, Bertenthal D, Covinsky KE, et al. Mortality risk stratification in chronic kidney disease: One size for all ages?. J Am Soc Nephrol. 2006;17:846–853
  10. Raymond NT, Zehnder D, Smith SC, Stinson JA, Lehnert H, Higgins RM. Elevated relative mortality risk with mild-to-moderate chronic kidney disease decreases with age. Nephrol Dial Transplant. 2007;22:3214–3220
  11. National Kidney Foundation. K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, classification, and stratification. Am J Kidney Dis. 2002;39(suppl 1):S1–S266
  12. Eriksen BO, Ingebretsen OC. The progression of chronic kidney disease: A 10-year population-based study of the effects of gender and age. Kidney Int. 2006;69:375–382
  13. O'Hare AM, Choi AI, Bertenthal D, et al. Age affects outcomes in chronic kidney disease. J Am Soc Nephrol. 2007;18:2758–2765
  14. Tinetti ME, Fried T. The end of the disease era. Am J Med. 2004;116:179–185

 This is a US Government Work. There are no restrictions on its use.

PII: S0272-6386(09)00503-4

doi: 10.1053/j.ajkd.2009.02.013

American Journal of Kidney Diseases
Volume 53, Issue 6 , Pages 925-927 , June 2009

Article Tools

* Image Usage & Resolution