The population in the United States is aging and presents many challenges in the healthcare world. According to the report released by United States Census Bureau in June 2017, there are around 50 million residents aged 65 years and over as of 2016. Among the multiple healthcare challenges, kidney disease is a significant one because of its high burden, high cost and low awareness. Medicare spending on chronic kidney disease for 65 plus aged patients exceeded $ 50 billion in 2013. Different studies based on different calculations have estimated that at least one-third of chronic kidney disease patients are aged above 65 years. Most of the chronic kidney disease patients have multiple medical co-morbidities but geriatric syndromes are added factors that may be challenging for nephrologists. There is scarcity of well-trained geriatricians and in most instances, nephrologists take over the role of internist or geriatrician. This article outlines the need and importance of collaboration and coordination between geriatrics and nephrology for the best patient care and better healthcare outcomes.
United States Renal Data System. 2015 USRDS annual data report: Epidemiology of kidney disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2015.
Coresh J, Selvin E, Stevens LA, Manzi J, Kusek JW, Eggers P, et al. (2017). Prevalence of chronic kidney disease in the United States. JAMA, 298(17):2038-47.
Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF3rd, Feldman HI, et al. (2009). A new equation to estimate glomerular filtration rate. Ann Intern Med, 150(9):604-12.
Chang Tara, Tamura MK (2009). Methods to Assess Quality of Life and Functional Status and Their Applications in Clinical Care in Elderly Patients with CKD. In: American Society of Nephrology Online Geriatric Nephrology Curriculum. American Society of Nephrology, 1-5.
Morley JE (2009). Nutrition and the Kidney in the Elderly Patient. In: American Society of Nephrology Online Geriatric Nephrology Curriculum. American Society of Nephrology, 1-3.
Altintepe L, Levendoglu F, Okudan N, et al. (2006) Physical disability, psychological status, and health-related quality of life in older hemodialysis patients and age-matched controls. Hemodial Int, 10:260-6.
Muhlberg W, Platt D (1999). Age-dependent changes of the kidneys: pharmacological implications. Gerontology, 45(5): p. 243-53.
Kurella M, Covinsky KE, Collins AJ, Chertow GM (2007). Octogenarians and nonagenarians starting dialysis in the United States. Ann Intern Med, 146:177-83.