Optimizing vascular access in the elderly: words we use affect patient care

The Journal of Vascular Access
Ingemar Davidson, Maurizio Gallieni

Abstract

Age is commonly used as guidance in a variety of life activities having extensive influence on people's lives from social to legal aspects. Health care is no exception, where treatment is often subliminally declined as a certain age is reached, mainly for economic reasons. Humans age at different and unpredicted rates, related to the development of co-morbid conditions, most notably diabetes and cardio-vascular pathology. The way we think about age and being old greatly affects how we will choose between the treatment options. Instead, if we consider the disease or diagnosis as the treatment guide, age will be cancelled out, and become a covariant in addition to all other contributing factors in a specific patient's disease state. This thinking would help the planning and likely improve the selection of renal replacement therapy in patients with kidney failure, where therapeutic options range from no treatment to renal transplant, based on clinical conditions considering risk and outcome projections, regardless of age.

References

May 4, 2007·Journal of the American Society of Nephrology : JASN·Timmy LeeMichael Allon
Dec 20, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Cécile CouchoudUNKNOWN French Renal Epidemiology and Information Network (REIN) registry
Feb 2, 2013·Clinical Journal of the American Society of Nephrology : CJASN·Charmaine E LokLouise Moist
Jun 20, 2014·Seminars in Dialysis·Pedro N Azevedo, Luc Turmel-Rodrigues
Jul 27, 2014·Journal of the American Society of Nephrology : JASN·David A DrewDaniel E Weiner
Aug 12, 2014·Journal of Vascular Surgery·Oded OlshaDavid Shemesh
Jun 26, 2015·The Journal of Vascular Access·Agnes MasenguAlexander P Maxwell

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Citations

May 20, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Rasheeda K HallCathleen S Colón-Emeric

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