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Chronic kidney disease in older people: diagnosis, pathogenesis and management

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  01 November 2008

Claire C Beeson ,
Edmund J Lamb  and
Shelagh E O'Riordan
Claire C Beeson
Affiliation:
Departments of Renal Medicine, Kent and Canterbury Hospital, Kent, UK
Edmund J Lamb
Affiliation:
Departments of Clinical Biochemistry, Kent and Canterbury Hospital, Kent, UK
Shelagh E O'Riordan*
Affiliation:
Departments of Health Care of the Older Person, Kent and Canterbury Hospital, Kent, UK
*
Address for correspondence: Shelagh O'Riordan, Health Care of the Older Person, East Kent Hospitals University NHS Foundation Trust, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, Kent CT1 3NG, UK. Email: Shelagh.O'Riordan@ekht.nhs.uk
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Extract

Chronic kidney disease (CKD) refers to long-term impairment of renal function. It is predominantly a disease of older people and the true extent of this has only recently been recognized. CKD has a number of implications including increased cardiovascular risk, secondary complications such as renal anaemia and bone disease and a small but significant risk of progression to established renal failure (ERF). It is associated with significant morbidity, mortality and healthcare costs and, against the background of an ageing population and the rising prevalence of type 2 diabetes, represents a growing public health problem. Evidence that specific interventions can reduce the cardiovascular risk associated with CKD and the risk of progressive CKD, as well as improving quality of life, has highlighted the importance of early detection of this disease.

Type
Clinical gerontology
Information
Reviews in Clinical Gerontology , Volume 18 , Issue 4 , November 2008 , pp. 245 - 256
Copyright
Copyright © Cambridge University Press 2009

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