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Functional status of chronic renal replacement therapy in elderly patients--comparison between hemodialysis and peritoneal dialysis.
Rev Med Chir Soc Med Nat Iasi 2012 Apr-Jun; 116(2):375-82RM

Abstract

Nowadays, nephrologists are confronted with an increasing number of elderly patients diagnosed with end-stage renal disease (ESRD) in need of dialysis. The benefits of renal replacement therapy are uncertain in this group of patients. Most studies show that the quality of life and survival of elderly dialyzed patients are worse than in younger patients because of multiple comorbidities. Functional status is an important aspect of the quality of life, a strong predictor of survival and a determinant of the health care systems costs.

METHOD

In the present research, we compare the change in the functional status--appreciated with the MDS-ADL score--in a cohort of hemodialyzed versus peritoneal dialyzed elderly patients (> 65 years) during a period of 3 years after starting dialysis treatment.

RESULTS

At the time of initiating dialysis, the median minimum data set of activities of daily living (MDS-ADL) score in hemodialysis (HD) elderly patients was 4.04 and in continuous ambulatory peritoneal dialysis (CAPD) group was 6.27 (the median MDS-ADL score at the moment of starting dialysis was statistically significant higher in peritoneal group than in hemodialysis elderly group).

CONCLUSIONS

The results conclude that elderly treated with peritoneal dialysis have a better evolution of functional status than hemodialyzed elderly patients do.

Authors+Show Affiliations

"Carol Davila" University of Medicine and Pharmacy, Bucharest.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23077923

Citation

Văcăroiu, Ileana Adela, et al. "Functional Status of Chronic Renal Replacement Therapy in Elderly Patients--comparison Between Hemodialysis and Peritoneal Dialysis." Revista Medico-chirurgicala a Societatii De Medici Si Naturalisti Din Iasi, vol. 116, no. 2, 2012, pp. 375-82.
Văcăroiu IA, Rădulescu D, Ciocâlteu A, et al. Functional status of chronic renal replacement therapy in elderly patients--comparison between hemodialysis and peritoneal dialysis. Rev Med Chir Soc Med Nat Iasi. 2012;116(2):375-82.
Văcăroiu, I. A., Rădulescu, D., Ciocâlteu, A., Peride, I., Ardeleanu, S., & Checheriţă, I. A. (2012). Functional status of chronic renal replacement therapy in elderly patients--comparison between hemodialysis and peritoneal dialysis. Revista Medico-chirurgicala a Societatii De Medici Si Naturalisti Din Iasi, 116(2), pp. 375-82.
Văcăroiu IA, et al. Functional Status of Chronic Renal Replacement Therapy in Elderly Patients--comparison Between Hemodialysis and Peritoneal Dialysis. Rev Med Chir Soc Med Nat Iasi. 2012;116(2):375-82. PubMed PMID: 23077923.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional status of chronic renal replacement therapy in elderly patients--comparison between hemodialysis and peritoneal dialysis. AU - Văcăroiu,Ileana Adela, AU - Rădulescu,Daniela, AU - Ciocâlteu,A, AU - Peride,Ileana, AU - Ardeleanu,S, AU - Checheriţă,I A, PY - 2012/10/20/entrez PY - 2012/10/20/pubmed PY - 2012/12/10/medline SP - 375 EP - 82 JF - Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi JO - Rev Med Chir Soc Med Nat Iasi VL - 116 IS - 2 N2 - UNLABELLED: Nowadays, nephrologists are confronted with an increasing number of elderly patients diagnosed with end-stage renal disease (ESRD) in need of dialysis. The benefits of renal replacement therapy are uncertain in this group of patients. Most studies show that the quality of life and survival of elderly dialyzed patients are worse than in younger patients because of multiple comorbidities. Functional status is an important aspect of the quality of life, a strong predictor of survival and a determinant of the health care systems costs. METHOD: In the present research, we compare the change in the functional status--appreciated with the MDS-ADL score--in a cohort of hemodialyzed versus peritoneal dialyzed elderly patients (> 65 years) during a period of 3 years after starting dialysis treatment. RESULTS: At the time of initiating dialysis, the median minimum data set of activities of daily living (MDS-ADL) score in hemodialysis (HD) elderly patients was 4.04 and in continuous ambulatory peritoneal dialysis (CAPD) group was 6.27 (the median MDS-ADL score at the moment of starting dialysis was statistically significant higher in peritoneal group than in hemodialysis elderly group). CONCLUSIONS: The results conclude that elderly treated with peritoneal dialysis have a better evolution of functional status than hemodialyzed elderly patients do. SN - 0048-7848 UR - https://www.unboundmedicine.com/medline/citation/23077923/Functional_status_of_chronic_renal_replacement_therapy_in_elderly_patients__comparison_between_hemodialysis_and_peritoneal_dialysis_ L2 - https://medlineplus.gov/kidneyfailure.html DB - PRIME DP - Unbound Medicine ER -