Nephrology and Geriatrics Integrated

by Oreopoulos, Dimitrios G.; Hazzard, William R.; Luke, Robert

• ISBN13: 9780792361817
• ISBN10: 0792361814
• Format: Hardcover
• Copyright: 2000-08-01
• Publisher: Springer Verlag

Summary

Because of many advances in medicine and biotechnology, an increasing number of individuals are surviving into old age, and we are now challenged to apply sophisticated medical knowledge to the care of the elderly citizen. In nephrology, individuals older than 65 are the fastest-growing group of patients requiring dialysis. Similarly, in increasing numbers, elderly persons present themselves with renal complaints to their family doctor, the geriatrician or the nephrologist. In August 1998, with the financial support of the John A. Hartford Foundation, leaders in geriatrics, nephrology and urology met in Jasper, Alberta, for one week to discuss their areas of special knowledge and to learn from each other. Geriatricians learned from nephrologists, nephrologists learned from geriatricians, and both came to see that they had much in common. All participants discovered a common interest, challenge and commitment, namely, to provide the best renal care to a progressively aging population and to teach their fellows the principles of the other collaborating specialties. This book contains all the papers presented at this meeting and also the text of group discussions on Training and Education, Special Clinical Problems in Geriatric Patients, and Recommendations in Basic and Clinical Research. Nephrology and Geriatrics Integrated will prove useful to both nephrologists and geriatricians in their efforts to manage the renal complaints of the elderly, who come to them in increasing numbers.

Table of Contents

List of Participants	ix
Introduction	xvii
Dimitrios G. Oreopoulos
William R. Hazzard
Robert Luke
The Clinical Physiology of Aging	1	(16)
William R. Hazzard
Aging Kidneys in an Aging Population: How Does This Impact Nephrology and Nephrologists?	17	(10)
William R. Hazzard
The Aging Kidney	27	(10)
Sarbjit V. Jassal
Dimitrios G. Oreopoulos
Aging: Its Influence on Drug Disposition and Effect	37	(8)
Darrell R. Abernethy
Drug-Related Renal Dysfunction in the Elderly	45	(6)
William M. Bennett
Fluid and Electrolyte Balance in the Elderly	51	(6)
Laurence H. Beck
Glomerular Disease in the Elderly Population	57	(10)
Richard J. Glassock
Renal Artery Disease in the Elderly	67	(10)
William L. Henrich
Diabetic Nephropathy in Patients with Type II Diabetes	77	(14)
Julia Lewis
Acute Renal Failure in the Elderly	91	(22)
Norbert Lameire
Anke Nelde
Heidi Hoeben
Raymond Vanholder
Hemodialysis in Elderly Patients	113	(14)
Wendy W. Brown
Peritoneal Dialysis in Older Individuals	127	(10)
James F. Winchester
New Insights Into Aging and Renal Osteodystrophy	137	(12)
Keith A. Hruska
Older Transplant Recipients; Older Transplant Donors - What Are the Issues?	149	(6)
Margaret J. Bia
Hydronephrosis and Renal Deterioration in the Elderly due to Abnormalities of the Lower Urinary Tract and Ureterovesical Junction	155	(12)
Perry M. Sutaria
David R. Staskin
The Geriatric Patient with Obstructive Uropathy	167	(12)
Saulo Klahr
Urinary Incontinence in the Elderly	179	(20)
Larry T. Sirls
Thomas Rashid
Access of the Elderly to Dialysis	199	(4)
Dimitrios G. Oreopoulos
Dialysis Withdrawal	203	(4)
Dimitrios G. Oreopoulos
Managed Care, Geriatrics and Nephrology	207	(6)
Martin G. White
The Challenges of Geriatric Nephrology: Managed Care/Disease Management	213
Theodore I. Steinman
DISCUSSION / RECOMMENDATIONS / EPILOGUE
a) Training and Education	227
Laurence H. Beck
b) Special Clinical Problems in Geriatric Patients	231
Jim Winchester
c) Research: Basic and Clinical	233
David Humes
Andrew Levey
Karl Kjellstrand
d) Epilogue	239
Robert Luke
William R. Hazzard
Dimitrios G. Oreopoulos