Review Article Volume 8 Issue 2
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
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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