Reconsideration of the current models of estimated kidney function‐based drug dose adjustment in older adults: The role of biological age

R Alikhani, MP Pai - Clinical and Translational Science, 2023 - Wiley Online Library
Human lifespan has increased from a median of 46.5 years in 1950 to 71.7 years in 2022.
As people age, one of the inevitable consequences is a decline in kidney function and …

[HTML][HTML] Kidney function and clinical recommendations of drug dose adjustment in geriatric patients

M Karsch-Völk, E Schmid, S Wagenpfeil, K Linde… - BMC geriatrics, 2013 - Springer
Background In elderly patients chronic kidney disease often limits drug prescription. As
several equations for quick assessment of kidney function by estimating glomerular filtration …

Estimating renal function to reduce the risk of adverse drug reactions

A Corsonello, G Onder, S Bustacchini, M Provinciali… - Drug safety, 2012 - Springer
The aging process is characterized by relevant changes in pharmacokinetics. Renal function
is known to decline with aging. However, as a result of reduced muscle mass, older …

The use of estimated glomerular filtration rate for dose adjustment of medications in the elderly

CG Elinder, P Bárány, O Heimbürger - Drugs & aging, 2014 - Springer
Adverse drug effects as a consequence of inappropriate dosage are a common cause of
hospitalization among the elderly. Older individuals are at a particular risk of overdosing …

Glomerular filtration rate equations overestimate creatinine clearance in older individuals enrolled in the Baltimore Longitudinal Study on Aging: impact on renal drug …

TC Dowling, ES Wang, L Ferrucci… - … : The Journal of Human …, 2013 - Wiley Online Library
Objectives To evaluate the performance of kidney function estimation equations and to
determine the frequency of drug dose discordance in an older population. Design Cross …

Kidney function changes with aging in adults: comparison between cross‐sectional and longitudinal data analyses in renal function assessment

SM Chung, DJ Lee, A Hand, P Young… - … & Drug Disposition, 2015 - Wiley Online Library
The study evaluated whether the renal function decline rate per year with age in adults
varies based on two primary statistical analyses: cross‐section (CS), using one observation …

[HTML][HTML] Estimating renal function in old people: an in-depth review

M Raman, RJ Middleton, PA Kalra, D Green - International urology and …, 2017 - Springer
Estimates of glomerular filtration rate (eGFR) should provide accurate measure of an
individual's kidney function because important clinical decisions such as timing of renal …

Clinical relevance of differences in glomerular filtration rate estimations in frail older people by creatinine-vs. cystatin C-based formulae

A Jacobs, C Benraad, J Wetzels, MO Rikkert… - Drugs & aging, 2017 - Springer
Background The risk of incorrect medication dosing is high in frail older people. Therefore,
accurate assessment of the glomerular filtration rate is important. Objective The objective of …

Estimated glomerular filtration rate leads to higher drug dose recommendations in the elderly compared with creatinine clearance

JQ Hudson, JR Bean, CF Burger… - … Journal of Clinical …, 2015 - Wiley Online Library
Purpose The elderly are at risk for adverse drug events because of inappropriate dosing of
renally eliminated medications. The purpose of this study was to evaluate differences in …

Changes in renal function with aging: implications for treatment

RD Lindeman - Drugs & aging, 1992 - Springer
The most important clinical renal function to monitor with aging is the glomerular filtration
rate (creatinine clearance). Most decisions on drug dosage can be based on this information …