Characteristics and treatment course of patients older than 75 years, reaching end-stage renal failure in France. The PSPA study. - Archive ouverte HAL Access content directly
Journal Articles Journals of Gerontology Series A: Biological Sciences and Medical Sciences Year : 2012

Characteristics and treatment course of patients older than 75 years, reaching end-stage renal failure in France. The PSPA study.

(1, 2) , (3) , (4)
1
2
3
4

Abstract

BACKGROUND: The age of patients with end-stage renal disease is increasing in Europe and United States. In France, patients older than 75 years represent 40% of the patients who start renal replacement therapy (dialysis or renal transplantation). In these elderly patients with many comorbidities, the benefit of dialysis remains controversial. To provide clear information to patients about diagnosis, prognosis, and all treatment options, more data are needed on their clinical characteristics, therapeutic projects, and outcome. METHODS: Researchers present here the ongoing Parcours de Soins des PersonnesAgées (PSPA) multicenter prospective study, which includes 581 patients with a mean age of 82±5 years and an estimated glomerular filtration rate (by sMDRD) of 14±4ml/min/1.73m(2) without dialysis. RESULTS: Despite a high prevalence of associated comorbidities, most of the patients are autonomous, living at home. Less than 10% are followed jointly by a nephrologist and a geriatrician. At inclusion, postponed dialysis decision due to stable estimated glomerular filtration rate was reported in 43%, 17% of the patients are under evaluation, the decision to start dialysis was chosen in 24% of the patients, nondialysis decision was decided in 16%. CONCLUSIONS: Geriatricians' expertise may help nephrologists to identify patients at high risk of early death for who nondialysis care may be discussed. They also may be more able to evaluate and anticipate the impact of such restricting treatments. A multidisciplinary approach of these old and frail patients' needs to be reinforced.

Dates and versions

inserm-00870867 , version 1 (08-10-2013)

Identifiers

Cite

Olivier Moranne, Cecile Couchoud, Cecile Vigneau. Characteristics and treatment course of patients older than 75 years, reaching end-stage renal failure in France. The PSPA study.. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 2012, 67 (12), pp.1394-9. ⟨10.1093/gerona/gls162⟩. ⟨inserm-00870867⟩
230 View
0 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More