Integrating Geriatric Evaluation into End‑Stage Kidney Disease Decision‑Making: Why Are We Still Waiting?

Authors

  • Ana Farinha Department of Nephrology, Unidade Local de Saúde (ULS) Arrábida, Setúbal, Portugal; ICBAS ‑ School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal https://orcid.org/0000-0002-5402-7626
  • Josefina Santos Department of Nephrology, ULS de Santo António, Porto, Portugal; Unit for Multidisciplinary Research in Biomedicine (UMIB), ICBAS ‑ School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal https://orcid.org/0000-0003-0383-4994
  • Mariana Alves Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal https://orcid.org/0000-0002-1369-8423

DOI:

https://doi.org/10.71749/pkj.153

Keywords:

Clinical Decision‑Making, Functional Status, Geriatric Assessment, Principle‑Based Ethics, Renal Replacement Therapy

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References

Tonelli M, Wiebe N, Knoll G, Bello A, Browne S, Jadhav D, et al. Systematic review: kidney transplantation compared with dialysis in clinically relevant outcomes. Am J Transplant. 2011;11:2093-109. doi:10.1111/j.1600-6143.2011.03686.

Farrington K, Covic A, Auccella F, Clyne N, de Vos L, Findlay A, Fet al. Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3B or higher (EGFR <45 mL/min/1.73 m2). Nephrol Dial Transplant. 2016;32:ii-ii66. doi:10.1093/ndt/gfw356

Moss AH. Ethical Issues in Chronic Kidney Disease Patients. Chronic Renal Dis. 2020:1309-20. doi:10.1016/B978-0-12-815876-0.00080-2

Keeler E, Guralnik JM, Tian H, Wallace RB, Reuben DB. The impact of functional status on life expectancy in older persons. J Gerontol A Biol Sci Med Sci. 2010;65:727-33. doi:10.1093/GERONA/GLQ029

Guerville F, Pepin M, Garnier-Crussard A, Beuscart JB, Citarda S, Hocine A, et al. How to make a shared decision with older persons for end-stage kidney disease treatment: the added value of geronto-nephrology. Clin Kidney J. 2024;17:281. doi:10.1093/CKI/SFAE281

Ahmed FA, Catic AG. Decision-Making in Geriatric Patients with End-Stage Renal Disease: Thinking Beyond Nephrology. J Clin Med. 2018;8:5. doi:10.3390/JCM8010005

Salvador-Carulla L, Gasca VI. Defining disability, functioning, autonomy and dependency in person-centered medicine and integrated care. Int J Integr Care. 2010;10:e025. doi:10.5334/JIIC.495

Slowther AM. The concept of autonomy and its interpretation in health care. Clin Ethics. 2007;2:173-175. doi:10.1258/147770500778356016

Failure to thrive in older adults: Evaluation-UpToDate.[Accessed May 16, 2026]. Available at: https://www.uptodate.com/contents/failure-to-thrive-in-older-adults-evaluation#H710

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49:M85-94. doi:10.1093/GERONJ/49.2.M85

Office-based assessment of the older adult. UpToDate. [Accessed May 16, 2026]. Available at: https://www.uptodate.com/contents/office-based-assessment-of-the-older-adult#H32870412

Comprehensive geriatric assessment. UpToDate. [Accessed May 16, 2026]. Available at: https://www.uptodate.com/contents/300913

Brown EA, Farrington K. Geriatric assessment in advanced kidney disease. Clinical Journal of the American Society of Nephrology. Am Soc Nephrol. 2019;14:1091-3. doi:10.2215/CJN.14771218

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Published

30-08-2026

Issue

Section

Current Perspectives

How to Cite

Integrating Geriatric Evaluation into End‑Stage Kidney Disease Decision‑Making: Why Are We Still Waiting?. (2026). Portuguese Kidney Journal. https://doi.org/10.71749/pkj.153

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