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Chinese Journal of Kidney Disease Investigation(Electronic Edition) ›› 2015, Vol. 04 ›› Issue (04): 182-186. doi: 10.3877/cma.j.issn.2095-3216.2015.04.004

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Kidney variation and function evaluation in elderly patients

Chaoyang Ye1,(), Linlin Cui1   

  1. 1. Department of Nephrology, Changzheng Hospital, Second Military Medical University, Kidney institute of Chinese PLA, Shanghai 200003, China
  • Online:2015-08-28 Published:2015-08-28
  • Contact: Chaoyang Ye
  • About author:
    Corresponding author: Ye Chaoyang, Email:

Abstract:

The acceleration of population ageing develops serious medical challenges to society. With organ dysfunction progresses, various age-related diseases have become increasingly prominent, the most prominent of which is the kidney. After the age of 40, the kidney function begins to wane, and can still maintain normal physiological activities in general conditions; but in case of diseases or under some kind of stress condition, the kidney load is increased, which can lead to occurrence of various kidney diseases. Structural and functional changes in kidney take place with age, as a process of physiological aging, which should be distinguished from the kidney diseases. Due to the age-related changes in kidney, the existing renal assessment methods have certain limitations for the elderly, and there has not been any perfect assessment method suitable for the elderly. In the process of diagnosis for the elderly patients with kidney diseases, it should be made clear first whether the renal function change is a physiological or pathological one, so that the treatment can be individualized based on etiology and physiological characteristics of the elderly.

Key words: Elderly, Renal function, Evaluation

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