Abstract：
:Chronic kidney disease is common in people >65years of age. The development and improvement of dialysis techniques has allowed its generalisation to the entire population, when there is a situation of terminal nephropathy, without limit of use due to chronological age. Decision making in elderly patients with advanced chronic kidney disease is complex: in addition to renal parameters, both comorbidity and the presence of geriatric syndromes must be considered. This review addresses the management of information, the decision making of different treatment modalities that can be offered to these patients, and the time of initiation and/or withdrawal of dialysis.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Heras Benito M,Fernández-Reyes Luis MJdoi
10.1016/j.medcli.2018.07.011subject
Has Abstractpub_date
2019-03-01 00:00:00pages
188-194issue
5eissn
0025-7753issn
1578-8989pii
S0025-7753(18)30516-5journal_volume
152pub_type
杂志文章,评审相关文献
MEDICINA CLINICA文献大全abstract：BACKGROUND AND OBJECTIVE:Obstructive sleep apnoea (OSA) is associated with an increased risk of cardiovascular disease. Our objective was to evaluate subclinical atherosclerosis in OSA patients and the effect of continuous positive airway pressure (CPAP) treatment on carotid intima-media thickness (cIMT). PATIENTS AND...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2016.03.032
更新日期：2016-07-01 00:00:00
abstract：:The advances in contraceptive and sterilization methods likely to be available within the next few years will probably consist of improvements of existing methods rather than revolutionary new techniques. Among female vaginal methods, vaginal sponges incorporating spermicides have been constructed of collagen or poly...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：
更新日期：1985-11-02 00:00:00
abstract：BACKGROUND:Given that Lyme's disease and HIV infection may present with similar clinical symptoms and that the serologic tests for the determination of antibodies against Borrelia burgdorferi present frequent false positives, the presence of antibodies against B. burgdorferi in patients with HIV in different evolutive ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-07-03 00:00:00
abstract：BACKGROUND AND OBJECTIVE:To assess the value of rituximab in systemic autoimmune diseases which are refractory to others treatments. PATIENTS AND METHOD:Prospective study on 12 patients -7 with systemic lupus erythematosus (SLE), 4 with Wegener's granulomatosis (WG), and 1 with overlapping connective disease and autoi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13100563
更新日期：2007-03-31 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The optimal treatment of aggressive non-Hodgkin lymphoma (NHL) in elderly patients remains controversial. We aimed to evaluate the impact of age and use of anthracyclines. PATIENTS AND METHOD:Retrospective analysis of patients with aggressive NHL aged over 70 years old. RESULTS:One hundred an...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2014.04.026
更新日期：2015-06-22 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The aim of this prospective randomized trial was to compare the effectiveness and morbidity of surgical vs chemical sphincterotomy in the treatment of chronic anal fissure after a 3-year follow-up period. PATIENTS AND METHOD:Eighty patients with chronic anal fissure were treated either with cl...
journal_title：Medicina clinica
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1157/13074137
更新日期：2005-04-23 00:00:00
abstract：BACKGROUND:To determine the frequency and the type of adrenal steroidogenic abnormalities in hirsute women. SUBJECTS AND METHODS:ACTH test was performed during follicular phase in 127 hirsute and 40 normal (control) women. Before ACTH injection we measured in serum by RIA: 17-OH-pregnenolone (17-OH-P5), 17-OH-progeste...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1998-02-14 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The Chronic Kidney Disease Epidemiology Collaboration (CDK-EPI) equation has been proposed as a replacement for the Modification of Diet in Renal Disease (MDRD) equation to estimate the glomerular filtration rate, but this equation has not yet been evaluated in the general population. PATIENTS...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2009.07.055
更新日期：2010-05-15 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The treatment of biliary tract infections requires antibiotics and an appropriate surgical procedure. The aim of this study was to evaluate the efficacy and safety of piperacillin/tazobactam versus ceftriaxone plus ornidazole in the treatment of biliary tract infections. PATIENTS AND METHOD:Th...
journal_title：Medicina clinica
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2003-12-06 00:00:00
abstract：BACKGROUND:The most appropriate methods for surveillance of nosocomial infection (NI) in hospitals with less than 250 beds remain to be elucidated. The aims of this study were to investigate the differences between the results found in a study in incidence (IS) and in another concerning prevalence (PS) carried out in a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-01-16 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Although elder abuse is not a new phenomenon, it remains hidden. There have been carried out various preliminary studies about the prevalence of elder abuse in different countries. The aim of this study is to estimate the prevalence of suspicion of elder abuse in old persons without cognitive i...
journal_title：Medicina clinica
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medcli.2012.09.048
更新日期：2013-12-21 00:00:00
abstract：INTRODUCTION AND OBJECTIVES:Common laboratory parameters are crucial in aiding coronavirus disease 2019 (COVID-19) case detection. This study aimed to determine the differences between laboratory parameters in (1) COVID-19 versus non-COVID-19 pneumonia, and (2) severe versus non-severe COVID-19 cases. METHODS:Studies ...
journal_title：Medicina clinica
pub_type： 杂志文章,meta分析
doi：10.1016/j.medcli.2020.05.017
更新日期：2020-08-28 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Functional assessment is especially relevant in patients with cognitive impairment (CI). The Disability Assessment for Dementia (DAD) scale assesses functional ability and its use is becoming increasingly popular. This study aims to perform the translation and cultural adaptation of the DAD sca...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2017.03.029
更新日期：2017-09-20 00:00:00
abstract：BACKGROUND AND OBJECTIVE:To estimate the prevalence of risk behaviors related to drug use and to identify factors associated with of accepting and passing on used syringes among intravenous drug users (IDU) recruited in Barcelona city and other surrounding areas in 2004. SUBJECTS AND METHOD:A cross-sectional study of ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13093723
更新日期：2006-10-14 00:00:00
abstract：BACKGROUND:Recent studies have suggested that women with ischemic heart disease receive lesser therapeutic care than males. The aim of this study was to verify the hypothesis that sex is an independent predictive factor in therapeutic care upon admission in patients with acute myocardial infarction. METHODS:Secondary ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1994-03-19 00:00:00
abstract：:Monitoring biomedical signals obtained from a patient generates information that processed conveniently, it has to allow detecting as soon as possible changes in the predicted evolution. The systematic register of one of these biomedical signals is named a time series. In this paper, a brief introduction appears to th...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1157/13057547
更新日期：2004-01-01 00:00:00
abstract：:Hypertension represents a relative risk of stroke up to 5 times. It is associated to ischaemic and haemorrhagic stroke. Hypertension produces an increase in brain vessels resistance and loss of the physiological mechanism of autoregulation, and it can be measured with transcranial doppler. Clinical trials have establi...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1157/13094428
更新日期：2006-10-28 00:00:00
abstract：:During the last few years, insufficient efficacy of currently recommended antimicrobial agents has been observed, mainly in the case of glycopeptides, during the treatment of infections due to methicillin-resistant Staphylococcus aureus, even if these isolates show MIC values within the susceptible range. The phenomen...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/S0025-7753(10)70036-1
更新日期：2010-12-01 00:00:00
abstract：:There are a great number of polymorphic genes in the human genome. Many of them codify enzymes that metabolizes drugs and xenobiotic agents, including carcinogens. Among the better known of them, there are a number of isozymes of the microsomal oxidative system (CYP3A4, CYP2C9, CYP2C19 y CYP2D6). This article reviews ...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1157/13088772
更新日期：2006-05-13 00:00:00
abstract：:The ANESCAT 2003 survey has provided reliable information on all practices within the specialty of anesthesiology in a community comprising 6.7 million inhabitants (namely Catalonia, Spain). In a situation in which official statistics are lacking, the findings allow us to make predictions and plan the clinical and org...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13088807
更新日期：2006-05-24 00:00:00
abstract：BACKGROUND:Fetal microchimerism (FM) has been implicated in the pathogenesis of primary biliary cirrhosis (PBC). The aim of the study was to investigate the presence of FM in PBC patients. PATIENTS AND METHOD:FM was studied in 28 women, 14 with PBC and 14 healthy controls.DNA was extracted from peripheral blood cells,...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(02)73575-6
更新日期：2002-12-07 00:00:00
abstract：:We performed a systematic review to assess the efficacy and safety of extracorporeal albumin dialysis systems in patients with liver failure. After screening 436 references, 10 controlled trials were detected. The analyzed interventions were MARS, Prometheus and Biologic-DT. Efficacy was proven by a reduction in bilir...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/j.medcli.2010.01.032
更新日期：2011-04-23 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:The albumin-cytologic dissociation in cerebrospinal fluid (CSF) supports the diagnosis of Guillain-Barre syndrome (GBS) but does not support the prognosis, so the aim of this study is to determine the usefulness of protein numbers in the CSF to predict progression in paediatric patients. PAT...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2017.06.063
更新日期：2018-05-11 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Multiple chemical sensitivity (MCS) is characterized by a loss of tolerance to various environmental chemicals. The objective of this study was to describe patients with MCS seen in our hospital. PATIENTS AND METHOD:Patients consecutively seen by the Toxicology and Chronic Fatigue Units who pr...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13107370
更新日期：2007-06-16 00:00:00
abstract：:Out of 110 cases of fever of unknown origin (FUO) that met Petersdorf and Beeson's criteria 15 patients were selected because of prolonged FUO with more than six months elapsed between admission and the final diagnosis. In this group of chronic FUO an etiological diagnosis was reached in 11 cases, distributed as follo...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1981-05-10 00:00:00
abstract：BACKGROUND:Lateral chest X-rays may be helpful in the early detection of osteoporotic patients. We studied the proportion of chest X-ray reports in which the radiologist highlighted the presence of vertebral osteoporotic signs, as well as the proportion of patients with such records who were further studied by their ph...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(01)72241-5
更新日期：2001-12-08 00:00:00
abstract：BACKGROUND:Human obesity is a widespread disease with considerable variability as to its severity, metabolic and endocrine manifestations and etiology. In the present study we have determined whether the alterations of uncomplicated severe obesity in adult young women affect with different intensity the circulating lev...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(01)71815-5
更新日期：2001-03-10 00:00:00
abstract：BACKGROUND AND OBJECTIVE:A good metabolic control of patients with type 2 diabetes mellitus (DM2) will likely contribute to a decrease of their cardiovascular (CV) risk. Our aim was (1) to evaluate the degree of metabolic control with regard to glycemia, lipidemia and blood pressure (BP) and (2) to describe the prevale...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(03)73735-x
更新日期：2003-04-05 00:00:00
abstract：:Pituitary apoplexy (PA) is currently considered as one of the causes of empty sella (ES). However, in most reported cases the diagnosis of PA was based on anamnesis. A prospective study of three patients diagnosed during the PA episode was carried out. Periodical evaluations of hormone concentrations and cerebral comp...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1991-06-15 00:00:00
abstract：BACKGROUND:The diagnostic capacity of computed tomography (CT) of the pituitary gland in the diagnosis of prolactinomas is difficult to define in terms of specificity and sensitivity since, up to the present, there is no definite diagnostic test for prolactin producing tumors. The aim of this study is to establish the ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1991-09-21 00:00:00
