AI Article Synopsis
- Frailty is an increased vulnerability due to accumulated deficits, particularly concerning for patients with chronic kidney disease (CKD) who are at a higher risk.
- Standard CKD management may be less effective or harmful in frail patients, prompting the need for targeted interventions.
- The review emphasizes the importance of frailty screening in CKD, discusses its outcomes, and suggests a framework for integrating screening into routine nephrology care.
Article Abstract
Frailty has been defined as a state of increased vulnerability as a consequence of deficit accumulation. Frailty screening has not yet been widely implemented into routine nephrology care. Patients with chronic kidney disease (CKD) are at high risk of being frail, and frailty has been associated with worse outcomes in this population. Standard management of CKD, including initiation of renal replacement therapies, may have decreased benefit or potentially cause harm in the presence of frailty, and a variety of interventions for modifying frailty in the CKD population have been proposed. The optimal means of screening for frailty in patients with kidney disease remains unclear. This review highlights the value of frailty screening in CKD by summarizing the outcomes associated with frailty and exploring proposed changes to the management of frail patients with CKD. Finally, we will propose a framework for how to implement frailty screening into standard nephrology care.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6901033 | PMC |
| http://dx.doi.org/10.2147/IJNRD.S228956 | DOI Listing |
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