Comprehensive geriatric assessment in the hemodialysis elderly population.
Authors: Aucella F, Stoico L, Cicchella A, Gesuete A, Greco A, Grandaliano G, Pilotto A
Abstract
The aim of this study was to assess the usefulness of a Multidimensional Prognostic Index (MPI) based on a Comprehensive Geriatric Assessment (CGA) in defining comorbidity and the need for a multidisciplinary approach in older patients with end-stage renal disease. This was a cross-sectional study that included 162 patients, 103 aged 65 and over with a diagnosis of end-stage renal disease and ongoing chronic hemodialysis treatment. Results were compared with a group of 250 geriatric patients without renal impairment. A standardized CGA that included information on clinical, cognitive, functional and nutritional aspects, as well as comorbidity, medications and social support network, was...