Journal Mobile

V Selvarajah, C Isles
Journal Issue: 
Volume 37: Issue 2: 2007




The  prevalence  of  end-stage  renal  disease  in  the  UK  looks  set  to increase for several more years.  Since CKD is essentially a disease of older age, and because age is no longer seen as a contraindication for treatment, it follows that older people are now the fastest growing group of patients starting dialysis. Sadly  this  has  not  always  been  matched  by  an  increase  in  services  necessary  to support them on dialysis. Expansion of dialysis facilities does not necessarily mean that  all  80-year-old  patients  with  end-stage  renal  disease  should  be  offered treatment, which will often be inappropriate because of functional impairment, or will become inappropriate in the setting of severe dementia, advanced cancer or other serious co-morbid illness.  Many questions about the management of older people  with  end-stage  renal  disease remain  unanswered. Well  designed prospective studies are required.