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Management of chronic kidney disease in elderly patients is complex Planning for renal replacement therapy and dialysis vascular access requires evaluation of comorbidities and quality of life Selection of the ideal vascular access for an elderly patient requires pre-operative vessel mapping and consideration of vascular biology, the patient's ability to function independently and their anticipated life expectancy Ethical issues, optimal timing of vascular access creation and predicting the outcomes of various types of permanent access remain challenging
Nature Reviews Nephrology – Springer Journals
Published: Dec 3, 2013
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