Loss of Independence in Patients Starting Dialysis at 80 Years of Age or Older

Abstract

We report a negative effect of initiation of dialysis on independent living by patients 80 years of age or older. Using a single-center, retrolective cohort study design (involving data collected prospectively for a purpose not directly relate to the study), we followed the progress of all patients 80 years of age or older in whom long-term dialysis was initiated during the period 2000–2005. Changes in living status were prospectively recorded in a clinical database. Functional loss was defined as a permanent transfer to an assisted-living setting or nursing home or having submitted an application for caregiver support. Studies using formal measures of functional change at the time of dialysis initiation are needed to appreciate the true extent of functional decline, as our data are likely to underestimate it. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)