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August 11, 2015

Chronic Kidney Disease in Older People

Author Affiliations
  • 1Division of Nephrology, Tufts Medical Center, Boston, Massachusetts
  • 2Departments of Epidemiology, Biostatistics, and Medicine, Johns Hopkins University, Baltimore, Maryland
JAMA. 2015;314(6):557-558. doi:10.1001/jama.2015.6753

Should current guidelines be changed to require age calibration for diagnosis and classification of chronic kidney disease? —No.

Chronic kidney disease (CKD) is a global public health problem, affecting more than 10% of the world’s population and more than half of adults older than 70 years.1 Chronic kidney disease is one of several conditions that are common in older people, such as hypertension, diabetes, and hyperlipidemia, and are associated with an increased risk of cardiovascular disease. Like CKD, the criteria for defining and classifying these vascular disease risk factors do not vary by age, although age is important for assessing prognosis and determining treatment. The solution to the public health problem of CKD is to improve strategies for prevention and treatment and tailor these strategies to each patient’s age and risk, rather than redefine CKD.

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