Geriatric Assessment in Older Patients with Advanced Kidney Disease: A Key to Personalized Care and Shared Decision-Making—A Narrative Review Article Swipe
Elisabeth J R Litjens
,
Melanie Dani
,
Wouter R. Verberne
,
Nele Van Den Noortgate
,
Hanneke Joosten
,
Astrid Brys
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/jcm14051749
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/jcm14051749
As the global population ages, so too does the prevalence of older people with chronic kidney disease (CKD). Helping people age well with CKD and supporting older people with end-stage kidney disease (ESKD) to make personalized decisions regarding kidney replacement therapy (KRT) or conservative care (CC) are an essential component of care. However, these factors are relatively underreported in both the fields of nephrology and geriatric medicine, and prospective, randomized evidence is lacking. This narrative review article, authored by both nephrologists and geriatricians, discusses specific geriatric issues that arise in older people with CKD and why they matter. The available evidence for KRT or CC in older people with frailty is outlined. The importance of performing a comprehensive geriatric assessment, or a modified nephrogeriatric assessment, to ensure a systematic evaluation of the person’s medical problems and life needs, goals, and values is described. We consider different models of nephrogeriatric care and how they may be implemented. Kidney supportive care—addressing an individual’s symptoms and overall well-being alongside the more traditional nephrological principles of preventing disease progression and optimizing risk—is highlighted throughout the article. We outline ways of identifying the later stages of a person’s disease journey, when transition to palliative care is indicated, and elaborate methods of preparing patients for this through multidisciplinary advance care planning. Finally, we discuss practice and systems for nephrogeriatric care in five different European countries and consider future directions, challenges, and highlights in this rapidly evolving, increasingly relevant field.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm14051749
- https://www.mdpi.com/2077-0383/14/5/1749/pdf?version=1741168310
- OA Status
- gold
- Cited By
- 4
- References
- 109
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408219386
All OpenAlex metadata
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https://openalex.org/W4408219386Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm14051749Digital Object Identifier
- Title
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Geriatric Assessment in Older Patients with Advanced Kidney Disease: A Key to Personalized Care and Shared Decision-Making—A Narrative ReviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-03-05Full publication date if available
- Authors
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Elisabeth J R Litjens, Melanie Dani, Wouter R. Verberne, Nele Van Den Noortgate, Hanneke Joosten, Astrid BrysList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm14051749Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/14/5/1749/pdf?version=1741168310Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2077-0383/14/5/1749/pdf?version=1741168310Direct OA link when available
- Concepts
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Medicine, Narrative review, Narrative, Kidney disease, Clinical decision making, Disease, Key (lock), Intensive care medicine, Personalized medicine, Gerontology, Internal medicine, Bioinformatics, Ecology, Linguistics, Biology, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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4Total citation count in OpenAlex
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2025: 4Per-year citation counts (last 5 years)
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109Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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