Management of End-Stage Renal Disease in the Older Adult: Recent Advances and Future Challenges
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Introduction
End-stage renal disease (ESRD), defined as chronic renal impairment severe enough to require renal replacement therapy, is rising in prevalence worldwide, and there are currently more than 500,000 patients with ESRD in the United States.1 This number is projected to exceed 780,000 by 2020, with patients age 65 years and older representing the fastest growing component of the ESRD population.1 As such, geriatricians and other healthcare providers must be familiar with common medical issues related to the older adult with ESRD. In a previous review, we discussed manageme
