Dialysis versus conservative kidney management in older adults: why one size does not fit all
In older adults with advanced CKD, survival gains from dialysis are modest and frequently offset by higher treatment burden. CKM offers a patient-centered alternative focused on quality of life, comfort, and goal-concordant care. The development of validated CKM-specific prognostic tools is essential to support individualized, evidence-informed decision-making.
Authors
- Mihai Onofriescu
- Andreea Covic
- Bogdan Dumitru Agavriloaei (ORCID: https://orcid.org/0009-0007-4376-2880)
- Teodora Joghiu
- Alexandru Burlacu
- Dragos Scripcariu
- Loredana-Mariana Agavriloaei
- Adrian Covic
- Luminita Voroneanu
Institutions
- Koç University (TR)
- Grigore T. Popa University of Medicine and Pharmacy (RO)
- Institutul Regional de Oncologie (RO)
- Spitalul Clinic Dr. C. I. Parhon (RO)
- George Enescu University of Arts of Iași (RO)
Publication Details
- Journal
- International Urology and Nephrology
- Published
- 2026-01-15
- DOI
- https://doi.org/10.1007/s11255-026-05009-3
- Citations
- 2
- Primary Topic
- Dialysis and Renal Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 69.88
Funders
- Universitatea de Medicina și Farmacie Grigore T. Popa - Iasi
- Unitatea Executiva pentru Finantarea Invatamantului Superior, a Cercetarii, Dezvoltarii si Inovarii