Hemodialysis, peritoneal dialysis, and related therapies for renal dialysis and the elderly/technology Page: 73
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patients with diabetic end-stage renal disease and all the elderly
patients who might benefit from treatment are being referred.
However, the proportion of elderly ESRD patients will continue to
increase because of aging of the general population, and the dialy-
sis population in the United States is not likely to stabilize
before the year 2030 (216).
Transplantation is a factor which will affect the future number
of patients on dialysis. Assuming an increased availability of
cadaver kidneys, it is likely that in the future the great majority
of younger patients will receive a kidney transplant. Although
there will continue to be a significant failure rate for cadaver
grafts, with the patients then returning to dialysis, and while some
of these patients will have high levels of cytotoxic antibodies
making retransplantation both less probable and less successful,
nevertheless, the number of patients on dialysis aged 35 and under
is likely to decline in the future (216). Consequently, the pro-
portion of elderly patients on dialysis is likely to increase even
further.
2. Selection of Treatment for the Individual Patient
Patient and physician have a number of options to select from
in deciding which modality of treatment is best for the individual
patient. While some general guidelines are available, there remains
the problem that good comparative information on the best form of
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Blagg, Christopher R. & Fenn, Scott. Hemodialysis, peritoneal dialysis, and related therapies for renal dialysis and the elderly/technology, report, January 1988; (https://digital.library.unt.edu/ark:/67531/metadc97377/m1/74/: accessed April 25, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.