Assessment of the geriatric competence and perceived needs of Italian nephrologists: an internet survey

被引：8

作者：

Aucella, Filippo ^{[1
]}

Brunori, Giuliano ^{[2
]}

Dalmartello, Michela ^{[3
]}

Leosco, Dario ^{[4
]}

Paolisso, Giuseppe ^{[5
]}

Marangella, Martino ^{[6
]}

Capasso, Giovanni Battista ^{[7
]}

Incalzi, Raffaele Antonelli ^{[8
]}

机构：

[1] Casa Sollievo Sofferenza Hosp, Inst Sci, Dept Nephrol & Dialysis, I-71013 Rotondo, FG, Italy

[2] Santa Chiara Hosp, Dept Nephrol & Dialysis, Trento, Italy

[3] Prov Autonoma Trento, Dept Hlth & Social Serv, Trento, Italy

[4] Univ Naples Federico II, Dept Translat Med Sci, Naples, Italy

[5] Univ Naples 2, Dept Med Surg Neurol Aging & Metab Sci, Naples, Italy

[6] AO Ordine Mauriziano, Dept Nephrol & Dialysis, Turin, Italy

[7] Univ Naples 2, Dept Med Sci, Naples, Italy

[8] Campus Biomed Univ, Dept Geriatr, Rome, Italy

来源：

JOURNAL OF NEPHROLOGY | 2016年 / 29卷 / 03期

关键词：

Geriatric nephrology; Geriatric competence; Internet survey; Dialysis; Chronic kidney disease; MULTIDIMENSIONAL PROGNOSTIC INDEX; DIALYSIS; DISEASE; FRACTURES; MORTALITY; SURVIVAL;

D O I：

10.1007/s40620-015-0232-y

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

An internet survey was set up to assess the geriatric competence and perceived needs of 337 members of the Italian society of nephrology (SIN). The survey assessed how well aware nephrologists are of the typical geriatric conditions and needs of their elderly chronic kidney disease (CKD) patients. SIN associates were also questioned about their current use of comprehensive geriatric assessment, prescription of potentially nephrotoxic drugs, and screening for osteoporosis. The main finding is that CKD and dialysis are almost unanimously perceived as typically geriatric conditions, but knowledge and use of geriatric tools are scanty. While use of potentially inappropriate drugs is rare, almost half of the patients are not screened for osteoporosis. The significant clinical gaps observed could greatly impair the management of older CKD patients, and call for an urgent educational intervention.

引用

页码：385 / 390

页数：6

共 23 条

[1]

[American Society of Nephrology Renal Physicians Association], 2001, CLIN PRACT GUID SHAR

[2]

[Anonymous], COR CURR GER NEPHR

[3]

Aucella Filippo, 2012, G Ital Nefrol, V29 Suppl 57, pS65

[4] Comprehensive geriatric assessment in the hemodialysis elderly population [J].

Aucella, Filippo ;

Stoico, Laura ;

Cicchella, Antonio ;

Gesuetel, Antonio ;

Greco, Antonio ;

Grandaliano, Giuseppe ;

Pilotto, Alberto .

JOURNAL OF NEPHROLOGY, 2012, 25 :S85-S89

[5]

Aucella Filippo, 2010, J Nephrol, V23 Suppl 15, pS1

[6] Palliative and end-of-life care issues in chronic kidney disease [J].

Combs, Sara A. ;

Davison, Sara N. .

CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE, 2015, 9 (01) :14-19

[7] Low bone mineral density and fractures in long-term hemodialysis patients: A meta-analysis [J].

Jamal, Sophie A. ;

Hayden, Jill A. ;

Beyene, Joseph .

AMERICAN JOURNAL OF KIDNEY DISEASES, 2007, 49 (05) :674-681

[8] Rates of hyperkalemia after publication of the randomized aldactone evaluation study [J].

Juurlink, DN ;

Mamdani, MM ;

Lee, DS ;

Kopp, A ;

Austin, PC ;

Laupacis, A ;

Redelmeier, DA .

NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (06) :543-551

[9] The role of peritoneal dialysis in the management of treatment-resistant congestive heart failure:: A European perspective [J].

Khalifeh, N. ;

Vychytil, A. ;

Hoerl, W. H. .

KIDNEY INTERNATIONAL, 2006, 70 :S72-S75

[10]

Limido Aurelio, 2012, G Ital Nefrol, V29 Suppl 58, pS21

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