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eISSN: 2378-3176

Urology & Nephrology Open Access Journal

Review Article Volume 8 Issue 2

Chronic kidney disease in older adults

Julio Cesar Candelaria Brito, Carlos Gutiérrez Gutiérrez, Claudia Acosta Cruz, María de la Caridad Casanova Moreno, Orestes Labrador Mazón

Received: January 29, 2020 | Published: April 23, 2020

Citation: Brito JCGutiérrez CG, Cruz CA, et al. Chronic kidney disease in older adults. Urol Nephrol Open Access J. 2020;8(2):46-51. DOI: 10.15406/unoaj.2020.08.0027

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Abstract

In order to update existing information on chronic kidney disease, a literature review of articles based on level I-II evidence was conducted. Basically based on the publications of  the  Cochrane  library,  Dynamed,  PubMed,  Scielo  among  others.  We  tried  to  use  the  bibliography  of  the  last  5  years,  and  reference  is  made  to  original  articles  of  importance  from  previous  years.  The  following  aspects  were  reviewed:  definitions,  epidemiology, prevalence,  physiopathology,  functional  and  structural  changes,  causes  of  the  disease,  risk  factors,  estimation  of  glomerular  filtration  rate  and  progression.  CKD  is  a  global health problem, with high prevalence rates in the elderly, regardless of the functional and structural changes of this patient, in what influences diabetes mellitus, hypertension and glomerulopathies as the main causes; as well as the risk factors described and the presence of markers of kidney damage. It is important to have these markers present together with the estimation of the GFR for the diagnosis and evaluation of the progression of the disease. The  promotion  and  prevention  of  health  are  the  main  strategies  from  the  primary  level  of  health  to  positively  influence  the  care  of  patients  with  kidney  disease,  described  in preventive nephrology and the preventive program of CKD in Cuba.

Keywords: chronic renal disease, elderly, chronic diseases not transmissible

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©2020 Brito, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.