Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Shared decision-making in advanced chronic kidney disease in the elderly
Journal Information
Vol. 152. Issue 5.
Pages 188-194 (March 2019)
Download PDF
More article options
Vol. 152. Issue 5.
Pages 188-194 (March 2019)
DOI: 10.1016/j.medcle.2019.01.007
Shared decision-making in advanced chronic kidney disease in the elderly
Toma de decisiones compartida en la enfermedad renal crónica avanzada del anciano
Manuel Heras Benito
Corresponding author

Corresponding author.
, María José Fernández-Reyes Luis
Servicio de Nefrología, Hospital General de Segovia, Segovia, Spain
Article information
Full Text
Download PDF
Figures (1)

Chronic kidney disease is common in people >65 years of age. The development and improvement of dialysis techniques has allowed its generalisation to the entire population, when there is a situation of terminal nephropathy, without limit of use due to chronological age. Decision making in elderly patients with advanced chronic kidney disease is complex: in addition to renal parameters, both comorbidity and the presence of geriatric syndromes must be considered. This review addresses the management of information, the decision making of different treatment modalities that can be offered to these patients, and the time of initiation and/or withdrawal of dialysis.

Advanced chronic kidney disease
Renal conservative treatment
Renal replacement therapy

La enfermedad renal crónica es frecuente en personas >65 años. El desarrollo y el perfeccionamiento de técnicas de diálisis ha permitido su generalización a toda la población cuando se llega a una situación de nefropatía terminal, sin existir límite de uso por la edad cronológica. La toma de decisiones en ancianos con enfermedad renal crónica avanzada es compleja: además de parámetros renales se debe considerar la comorbilidad, así como la presencia de síndromes geriátricos. En esta revisión se aborda la gestión de la información, la toma de decisión de diferentes modalidades de tratamiento que se pueden ofertar a estos pacientes y el momento de inicio y/o retirada de diálisis.

Palabras clave:
Enfermedad renal crónica avanzada
Toma de decisiones compartida
Tratamiento conservador renal
Tratamiento renal sustitutivo


These are the options to access the full texts of the publication Medicina Clínica (English Edition)

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe to

Medicina Clínica (English Edition)

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos