Prediction, progression, and outcomes of chronic kidney disease in older adults

Sharon Anderson, Jeffrey B. Halter, William R. Hazzard, Jonathan Himmelfarb, Frances McFarland Horne, George Kaysen, John W. Kusek, Susan G. Nayfield, Kenneth Schmader, Ying Tian, John R. Ashworth, Charles P. Clayton, Ryan P. Parker, Erika D. Tarver, Nancy F. Woolard, Kevin P. High

Research output: Contribution to journalArticlepeer-review

140 Scopus citations

Abstract

Chronic kidney disease is a large and growing problem among aging populations. Although progression of chronic kidney disease to end-stage renal disease (ESRD) is a costly and important clinical event with substantial morbidity, it appears less frequently in aging people compared with cardiovascular mortality. The measurement of kidney function and management of kidney disease in older individuals remain challenging, partly because the pathophysiologic mechanisms underlying age-related decline in kidney function, the interactions between age and other risk factors in renal progression, and the associations of chronic kidney disease with other comorbidities in older people are understudied and poorly understood. The Association of Specialty Professors, the American Society of Nephrology, the American Geriatrics Society, the National Institute on Aging, and the National Institute of Diabetes and Digestive and Kidney Diseases held a workshop, summarized in this article, to review what is known about chronic kidney disease, identify research gaps and resources available to address them, and identify priority areas for future research. Answers to emerging research questions will support the integration of geriatrics and nephrology and thus improve care for older patients at risk for chronic kidney disease.

Original languageEnglish (US)
Pages (from-to)1199-1209
Number of pages11
JournalJournal of the American Society of Nephrology
Volume20
Issue number6
DOIs
StatePublished - Jun 2009

ASJC Scopus subject areas

  • Nephrology

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