The Aging Kidney in Health and Disease

ISBN-13: 9780387726588 / Angielski / Twarda / 2007 / 553 str.

Juan-F Macias-Nunez; J. Stewart Cameron; Dimitrios G. Oreopoulos

Opis

It is a great pleasure to respond to the invitation to write a foreword for this book. With a worldwide increase in an aging population, the practice of medicine is increasingly focused on elderly patients with chronic diseases and episodic acute exacerbations rather than the previous model of acute disease management only. As nephrologists around the world deal with millions of elderly individuals, many of whom are classified as suffering from chronic kidney disease in stages 2 5, they are, of necessity, practicing geriatrics without specific training or previous exposure in this field. Therefore, most nephrologists, as well as dealing with new types of clinical presentations, and geriatric evaluation tools, will face the difficulties of reaching the treatment targets specific to geriatric patients. These geriatric targets include, in addition to the usual diagnosis and medical or surgical treatment for young adults, the recuperation of the ability to perform activities of daily living, which are often partially or totally lost in renal disease. Apart from these clinical difficulties, physicians will also face enormous ethical challenges. These issues are clearly dealt with by geriatricians and nephrologists. Improvements in care and advancing clinical knowledge will enable us to delineate more clearly those changes that are due to aging as opposed to those changes due to disease. This book provides an important step in further clarifying and quantifying the differences between an aging and a diseased kidney."

Recenzje

From the reviews:

"This book attempts to consolidate the different aspects of chronic kidney disease/end stage renal disease (CKD/ESRD) management with the corresponding aspects of geriatrics. ... The target audience would include essentially any healthcare provider who deals with the geriatric population. This could be a physician, nurse practitioner, physician's assistant, medical student, etc. The book is easy to read for every one of these practitioners." (Kevin C Harned, Doody's Review Service, May, 2008)

"Whether in health or in disease, age affects many parts of the body - including the kidneys - and this book, The Aging Kidney in Health and Disease, delves deeply into these matters in a well-organized and readable fashion. It gives readers an overview of the physiology and pathology of the kidney during the aging process. ... will serve as a multidisciplinary guide for general physicians, internists, nephrologists, and geriatricians who want to improve their knowledge of geriatric nephrology." (Jane F. Reckelhoff and Julio C. Sartori-Valinotti, The New England Journal of Medicine, July, 2008)

"A multiauthored text written by renowned experts and researchers in the fields of geriatrics, urology, nephrology and hypertension, and physiology. It is intended for physicians and clinicians as well as for various other members of the allied health sciences who have a particular interest in diseases involving the genitourinary tract in elderly individuals. ... will be of utmost interest to clinicians as well as other members of the allied health field who care for elderly patients with diseases involving the kidneys and urinary tract." (Edgar V. Lerma, JAMA, October, 2008)

"Many international authors have participated in writing this book, as the editors identify, to provide the readers with a holistic perspective of geriatric nephrology. ... I strongly recommend this book to any member of the multidisciplinary team for use as a resource in the management of the ever-expanding older population that will require renal care." (Fiona Murphy, Journal of Renal Care, Vol. 35 (1), 2009)

"The Aging Kidney in Health and Disease is a timely publication that brings together experts in the field of nephrology with geriatrics, pathology, pharmacology and urology to help educate those less familiar with the issues facing the aging patient. ... ideal for all health professionals working in renal disease who would like a greater understanding of the needs of the elderly patient. It is also suitable for those not in the field of nephrology ... ." (Journal of Renal Nursing, Vol. 1 (4), November, 2009)

Spis treści

Holistic Approach to the Geriatric Patient: Geriatric Evaluation.- Incidence of Renal Diseases in an Acute Geriatric Unit.- Anatomical Changes in the Aging Kidney.- Biology of the Aging Process and Its Clinical Consequences.- Physiology of the Healthy Aging Kidney.- The Mechanisms of Age-Associated Glomerular Sclerosis.- Endothelial Function in the Healthy Aged.- Renal Handling of Water and Electrolytes in the Old and Old-Old Healthy Aged.- Renal Handling of Uric Acid, Magnesium,Phosphorus, Calcium, and Acid Base in the Elderly.- Dysnatremias: Diagnosis and Treatment.- Hypertension in the Elderly.- The Renin-Angiotensin System and the Aging Process.- Prevention of Chronic Renal Diseases in the Elderly.- Obstructive Uropathy and Benign Prostatic Hyperplasia.- Urinary Tract Infection.- Incontinence in the Elderly.- The Diagnosis of Renal Diseases in Elderly Patients. What Role Is There for Biopsy?.- Diabetic Nephropathy.- Renal Cystic Disease in the Elderly.- Renal Vasculitis in the Elderly.- Acute Renal Failure in the Aged.- Multiorganic Dysfunction Syndrome in the Elderly Critically Ill Patient.- Etiology, Diagnosis, and Management of Chronic Renal Insufficiency in the Aged.- Substitutive Treatments of End-Stage Renal Diseases in the Elderly: Dialysis.- Substitutive Treatments of End-Stage Renal Diseases in the Elderly: Renal Transplantation.- Pharmacokinetics in the Geriatric Population.- Quality of Life in Elderly Patients with Renal Failure.- Ethical Dilemmas in Geriatric Uremia Therapy.

Blurb

The Aging Kidney in Health and Disease will be a reliable source on the management of the elderly with renal disease. There is an ever-increasing proportion of the aging population affected by renal disease and hypertension and physicians are faced with atypical clinical presentations of renal disease in the aged as compared to younger people. This volume will combine the fields of nephrology and geriatrics and present a multidisciplinary approach to the topic.

Juan F. Macías Núñez, MD, PhD, is Profesor Titular de Medicina, Departamento de Medicina, University of Salamanca, Salamanca, Spain.

J. Stewart Cameron, MD, BSc, FRCP is Emeritus Professor of Renal Medicine, Guy's, King's and St. Thomas' School of Medicine, King's College, London, United Kingdom.

Dimitrios G. Oreopoulos, MD, PhD, is Professor of Medicine, Toronto Western Hospital, Toronto, Ontario, Canada.