保守性肾脏管理中的老年医学原则：虚弱、功能评估和选择性剥夺。

IF 2.8 3区医学 Q2 UROLOGY & NEPHROLOGY

Seminars in nephrology Pub Date : 2023-01-01 DOI:10.1016/j.semnephrol.2023.151400

Peter Hedderich DO , Luis Ng Sueng MD , Hesham Shaban MD

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引用次数: 0

摘要

保守性肾脏管理是晚期慢性肾脏疾病的一种非透析治疗选择，包括延迟肾功能丧失的干预措施、治疗症状的药物以及对患者及其亲人的心理社会支持。一些老年医学原则适用于正在考虑或接受保守肾脏管理的患者，包括将身体、心理和社会因素纳入医疗护理和医疗决策；仔细审查药物清单并选择性取消说明；以及筛查老年综合征，如虚弱和功能损害。在这篇综述中，我们讨论了功能和虚弱评估以及选择性描述如何对考虑或接受保守肾脏管理的患者有用。

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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Geriatric Medicine Principles in Conservative Kidney Management: Frailty, Functional Assessments, and Selective Deprescribing

Conservative kidney management is a nondialytic treatment option for advanced chronic kidney disease that involves interventions to delay kidney function loss, medications to treat symptoms, and psychosocial support for patients and their loved ones. Several geriatric medicine principles are applicable to patients who are considering or receiving conservative kidney management, including the integration of physical, psychological, and social factors into medical care and medical decisions; careful review of medication lists with selective deprescribing; and screening for geriatric syndromes such as frailty and functional impairment. In this review, we discuss how functional and frailty assessments as well as selective deprescribing can be useful for patients considering or receiving conservative kidney management.

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来源期刊

Seminars in nephrology 医学-泌尿学与肾脏学

CiteScore

5.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Seminars in Nephrology is a timely source for the publication of new concepts and research findings relevant to the clinical practice of nephrology. Each issue is an organized compendium of practical information that serves as a lasting reference for nephrologists, internists and physicians in training.