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Breaking the cycle of functional decline in older dialysis patients.

Publication ,  Journal Article
Hall, RK; McAdams-DeMarco, MA
Published in: Semin Dial
September 2018

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.

Duke Scholars

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Published In

Semin Dial

DOI

EISSN

1525-139X

Publication Date

September 2018

Volume

31

Issue

5

Start / End Page

462 / 467

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Risk Factors
  • Renal Dialysis
  • Humans
  • Health Status
  • Geriatric Assessment
  • Frail Elderly
  • Aged, 80 and over
  • Aged
  • Activities of Daily Living
 

Citation

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Hall, R. K., & McAdams-DeMarco, M. A. (2018). Breaking the cycle of functional decline in older dialysis patients. Semin Dial, 31(5), 462–467. https://doi.org/10.1111/sdi.12695
Hall, Rasheeda K., and Mara A. McAdams-DeMarco. “Breaking the cycle of functional decline in older dialysis patients.Semin Dial 31, no. 5 (September 2018): 462–67. https://doi.org/10.1111/sdi.12695.
Hall RK, McAdams-DeMarco MA. Breaking the cycle of functional decline in older dialysis patients. Semin Dial. 2018 Sep;31(5):462–7.
Hall, Rasheeda K., and Mara A. McAdams-DeMarco. “Breaking the cycle of functional decline in older dialysis patients.Semin Dial, vol. 31, no. 5, Sept. 2018, pp. 462–67. Pubmed, doi:10.1111/sdi.12695.
Hall RK, McAdams-DeMarco MA. Breaking the cycle of functional decline in older dialysis patients. Semin Dial. 2018 Sep;31(5):462–467.
Journal cover image

Published In

Semin Dial

DOI

EISSN

1525-139X

Publication Date

September 2018

Volume

31

Issue

5

Start / End Page

462 / 467

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Risk Factors
  • Renal Dialysis
  • Humans
  • Health Status
  • Geriatric Assessment
  • Frail Elderly
  • Aged, 80 and over
  • Aged
  • Activities of Daily Living