Dialysis of little benefit to elderly end-stage renal disease patients

Dialysis of little benefit to elderly end-stage renal disease patients
(HealthDay)—Dialysis does not significantly improve survival for elderly patients with end-stage renal disease (ESRD), according to research published online March 17 in the Clinical Journal of the American Society of Nephrology.

Wouter Verberne, M.D., of St. Antonius Hospital in Nieuwegein, Netherlands, and colleagues examined outcomes among older (≥70 years) ESRD patients in the Netherlands who received either dialysis (204 patients) or conservative care (107 patients).

Overall, patients with comorbidities died sooner than those without additional medical issues, the study authors reported. Among those ≥80 years of age, the investigators found no statistically significant difference in survival between dialysis and conservative care. The findings suggest that conservative care may be a reasonable option for some ESRD ≥80.

"We do not conclude that should not be given to anybody ≥80 years or with severe comorbidity. But we show that the treatment is on average of little advantage regarding survival," Verberne said in a journal news release. "Our next task is to predict who benefits and who does not. Until we are able to give a better prediction of the results of dialysis treatment at high age, we can merely suggest that conservative management is an option which should honestly be discussed when ESRD is approaching."


Explore further

Rates of kidney failure due to blood cancer are declining

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Copyright © 2016 HealthDay. All rights reserved.

Citation: Dialysis of little benefit to elderly end-stage renal disease patients (2016, March 21) retrieved 25 June 2019 from https://medicalxpress.com/news/2016-03-dialysis-benefit-elderly-end-stage-renal.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
2 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more