What is the life expectancy of a 62 year old with end stage kidney disease?When there are apparently no treatment options (such as a transplant or dialysis) available?
Posted by J B
There is no way of knowing this. It would depend on whether this is being managed with medications, how closely this person follows their renal diet, how much functioning is left (or how little is left). No one has a check out date so there is no way of making this determination. Only this person's doctor could even make a guess.
Posted by Jared
Anywhere from a few days to perhaps a year at best prognosis.
End stage is generally going to be a glomular filtration rate of less than 15mL per minute. This is under 10% function with combined kidneys.
To put it into perspective,.. with NO other complications,.. (which is rare) -- with dialysis the expectancy would be 2-4 years, with regular dialysis. With kidney transplant it is markedly improved, but neither of these are options.
It really all depends on the rate at which the kidneys are operating now. If at less than 10%,.. then accumulations are occurring as we speak. Fluid in the lungs, around the heart,.. a form of sepsis in the blood,.. general acidosis , electrolyte imbalance, and so on. Some of these can be controlled in the hospital, but even so -- you MUST have your blood filtered, we just can't go without it.
So if it is truly end stage, I would give a prognosis of weeks to months at best.. without dialysis.
There are many other variables that can shorten this prognosis as well,.. diabetes, heart disease, anemia, obesity, and so on.
As well as variables than can lengthen the prognosis -- if this is something like Stage 3, rather than 5.. etc.
All the best,
Posted by YokelRidesAgain
In theory, "end stage renal disease" should mean that kidney disease has progressed to a point where the patient will not be able to survive for any considerable length of time without renal replacement therapy (i.e., dialysis or a transplant). In practice, it is difficult to know with certainty when that point is reached; the goal is not to wait to start dialysis until the patient is at the door of death. So, some patients who "need dialysis" could actually live for months--in exceptional cases even a few years--without it. Occasionally, even patients who have been on dialysis for years decide to stop, but nevertheless survive for a while without it!
So, the simple answer is that the answer varies from person to person. However, it's fair to say that life expectancy in an untreated patient with ESRD usually measures in months to a couple of years. It can be as short as days to weeks.
BTW, dialysis is almost invariably an option. About the only patients who are not candidates for any form of dialysis are critically ill people with extremely low blood pressure who can't tolerate even the slowest and gentlest forms of dialysis (hemofiltration); this is usually a situation where death is imminent. In other cases, dialysis is considered a futile option due to a multitude of other medical problems that are expected to be rapidly terminal.
A much more common scenario is that patients are not interested in a form of dialysis for which they are a candidate; for example, hemodialysis in a center three times per week.
Orignal From: Kidney Disease: What is the life expectancy of a 62 year old with end stage kidney disease?
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