Geriatrisches Screening und Assessment bei chronischer Nierenkrankheit (CKD)
摘要
Patients affected by chronic kidney disease very often exhibit the characteristics of geriatric patients, which increase with the severity and often already at a relatively young age. A geriatric phenotype, often described with the term frail, although not synonymous with it, is associated with increased mortality, with an increased risk of more severe and prolonged disease progression and, frequently associated with this, a decrease in the ability for self-help and autonomy as well as a lower chance of undergoing a kidney transplantation. In order to counter this, patients should first be screened and, in the event of abnormalities, the deficits should be assessed at least in the dimensions of the ability for self-help, mobility, cognition, affect, nutrition and social situation. Other areas would be, for example, polypharmacy and symptom burden. Prognosis scores can be helpful when making difficult diagnostic or treatment decisions. The aim of an assessment is to identify individual problems at an early stage and to initiate targeted measures in order to maintain the ability for self-help and the quality of life of the patients in the best possible way.