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List of Contributors
Preface
Introduction
1 The Aging Process and Geriatric Principles 3
2 Changes in Renal Function with Age 11
3 Renal Consultations in Hospitalized Very Old People 23
4 Progression of Glomerular Diseases: Risk Factors and Clinical Overview 37
5 Progression of Glomerular Sclerosis: Molecular and Immunologic Mechanisms 49
6 Renal Complications of Non-steroidal Anti-inflammatory Drugs in Older People 57
7 Treatment of Hyperlipidemia in the Elderly 67
8 Glomerulonephritis in the Elderly 73
9 Renal Vasculitis in the Elderly 83
10 Maturity-Onset Diabetes and Nephropathy 93
11 Clinical Approach to Volume Overload: Predicting the Vulnerable Patient 105
12 Urinary Infection in the Elderly 119
13 Urinary-Tract Infection in the Elderly: Evaluation and Treatment 127
14 Urinary-Tract Infection in the Elderly, Epidemiology and Pathogenesis 133
15 Hypertension in the Elderly: Pathophysiology of Aging of the Cardiovascular System 141
16 Pathophysiology of Hypertension in the Elderly 147
17 Treatment of Hypertension in the Elderly 153
18 Risk Factors for Acute Renal Failure in the Elderly 167
19 Recognition and Prevention of Drug-Induced Acute Renal Failure 175
20 Contrast-Induced Renal Failure in the Elderly 183
21 Selection of Dialysis Mode in the Elderly with End-Stage Renal Disease 193
22 Hemodialysis of the Elderly 203
23 Creative Strategies for Chronic Peritoneal Dialysis in the Elderly 213
24 Hemodialysis in a Chronic Care Facility 219
25 Peritoneal Dialysis in the Nursing-Home Patient 225
26 Aluminum Intoxication in the Elderly Dialysis Patient 233
27 Angioaccess for Hemodialysis in Patients 65 Years and Older 241
28 Outcomes of CAPD Versus Hemodialysis in the Elderly 251
29 Quality of Life for Elderly Dialysis Patients: Effects of Race and Mode of Dialysis 263
30 Rehabilitation of Elderly Patients on Hemodialysis 277
31 Geriatric Rehabilitation in the Elderly with End-Stage Renal Disease 293
32 Surrogates of Nutritional Status as Prognostic Indicators for Elderly Hemodialysis Patients 303
33 Nutrition in the Elderly CAPD Patient 309
34 'You Can't Teach an Old Dog New Tricks' 317
35 Challenges in the Training of Elderly CAPD Patients 323
36 Host Resistance and Immune System 331
37 Complications and Preparation of the Elderly Recipient for Transplantation 337
38 Renal Transplantation in the Elderly: The Toronto Experience 349
39 Epidemiology of Urinary Incontinence in the Elderly 359
40 Surgical Treatment of Stress-Urinary Incontinence 363
41 Pharmacologic Challenges to Treatment for Urinary Incontinence 369
42 Behavioral Program for Urinary Incontinence: Indications, Techniques and Results 381
62 Exclusion of Old Patients From Dialysis in USA, Canada and Sweden 569
63 Decision to Forgo ESRD Treatment 585
64 Allocation of Scarce Resources: Justice and Rationing of Health Care 597
65 The Canadian Health Care System 605
Subject Index 615