Breaking the cycle of functional decline in older dialysis patients.


Journal Article

Currently, older adults comprise nearly one-third of prevalent US dialysis patients, and this proportion will increase as the population ages. Older dialysis patients experience greater morbidity and mortality than nondialysis patients of the same age, and in part, it is related to progressive functional decline. Progressive functional decline, characterized by need for assistance with more than 2 activities of daily living, contributes to risk of hospitalization, further functional decline, and subsequent nursing home placement when a patient no longer functions independently at home. Progressive functional decline may appear to be unavoidable for older dialysis patients; however, comprehensive geriatric assessment (CGA) may alleviate the prevalence and severity of functional decline. This editorial summarizes common risk factors of functional decline and introduces CGA as a potentially transformative approach to breaking the cycle of functional decline in older dialysis patients.

Full Text

Duke Authors

Cited Authors

  • Hall, RK; McAdams-DeMarco, MA

Published Date

  • September 2018

Published In

Volume / Issue

  • 31 / 5

Start / End Page

  • 462 - 467

PubMed ID

  • 29642268

Pubmed Central ID

  • 29642268

Electronic International Standard Serial Number (EISSN)

  • 1525-139X

Digital Object Identifier (DOI)

  • 10.1111/sdi.12695


  • eng

Conference Location

  • United States