Description
Springer The Aging Kidney in Health and Disease 1st Editon 2014 Softbound by Juan F. Macías-Núñez, J. Stewart Cameron, Dimitrios G. Oreopoulos
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. 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.