TY - JOUR
T1 - Breaking the cycle of functional decline in older dialysis patients
AU - Hall, Rasheeda K.
AU - McAdams-DeMarco, Mara A.
N1 - Funding Information:
Funding Dr Hall receives support from Duke University CTSA KL2 Scholar program (NIH grant KL2TR001115), the Duke University Claude D. Pepper Older Americans Independence Center (NIH grant P30AG028716), and Grant 2015207 from the Doris Duke Charitable Foundation. Dr. McAdams-DeMarco is supported by NIH grants R01AG055781 and R01DK114074. Dr. McAdams-Demarco was also supported by the Johns Hopkins University Claude D. Pepper Older Americans Independence Center (P30AG021334) and the National Institute on Aging (K01AG043501).
Funding Information:
Dr Hall receives support from Duke University CTSA KL2 Scholar program (NIH grant KL2TR001115), the Duke University Claude D. Pepper Older Americans Independence Center (NIH grant P30AG028716), and Grant 2015207 from the Doris Duke Charitable Foundation. Dr. McAdams-DeMarco is supported by NIH grants R01AG055781 and R01DK114074. Dr. McAdams-Demarco was also supported by the Johns Hopkins University Claude D. Pepper Older Americans Independence Center (P30AG021334) and the National Institute on Aging (K01AG043501).
Publisher Copyright:
© 2018 Wiley Periodicals, Inc.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - 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.
AB - 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.
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U2 - 10.1111/sdi.12695
DO - 10.1111/sdi.12695
M3 - Article
C2 - 29642268
AN - SCOPUS:85045277329
SN - 0894-0959
VL - 31
SP - 462
EP - 467
JO - Seminars in dialysis
JF - Seminars in dialysis
IS - 5
ER -