Frailty in Kidney Disease: A Comprehensive Review to Advance Its Clinical and Research Applications.

IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY
Devika Nair, Christine K Liu, Rasha Raslan, Mara McAdams-DeMarco, Rasheeda K Hall
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引用次数: 0

Abstract

Frailty is a multisystem syndrome of decreased physiologic reserve that has been shown to strongly and independently predict morbidity and mortality. Frailty is prevalent in patients living with kidney disease and occurs earlier in individuals with kidney disease as compared to the general population. In this comprehensive review, we examine clinical and research applications of frailty in kidney disease populations. Specifically, we clarify the definition of frailty and address common misconceptions, review the mechanisms and epidemiology of frailty in kidney disease, discuss challenges and limitations in frailty measurement, and provide updated evidence related to risk factors for frailty, its associated adverse outcomes, and interventions. We further add to the literature in this topic by highlighting the potential applications of frailty measurement in the care of patients with kidney disease and conclude with our recommendations for future research related to this important syndrome.

肾脏疾病中的虚弱:全面回顾,推进临床和研究应用。
虚弱是一种生理储备下降的多系统综合征,已被证实可独立地预测发病率和死亡率。虚弱在肾病患者中很普遍,与普通人群相比,肾病患者更早出现虚弱。在这篇综合综述中,我们旨在推进虚弱在肾病人群中的临床和研究应用。具体来说,我们将澄清虚弱的定义并解决其常见的误解;回顾肾脏疾病中虚弱的机制和流行病学;讨论虚弱测量的挑战和局限性;并提供与虚弱的风险因素、其相关的不良后果和干预措施有关的最新证据。通过强调虚弱测量在肾病患者护理中的潜在应用,我们进一步补充了这一主题的文献,最后我们对这一重要综合征的未来研究提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Kidney Diseases
American Journal of Kidney Diseases 医学-泌尿学与肾脏学
CiteScore
20.40
自引率
2.30%
发文量
732
审稿时长
3-8 weeks
期刊介绍: The American Journal of Kidney Diseases (AJKD), the National Kidney Foundation's official journal, is globally recognized for its leadership in clinical nephrology content. Monthly, AJKD publishes original investigations on kidney diseases, hypertension, dialysis therapies, and kidney transplantation. Rigorous peer-review, statistical scrutiny, and a structured format characterize the publication process. Each issue includes case reports unveiling new diseases and potential therapeutic strategies.
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