Subject: Re: osteo arthritis in knee & naproxen
Been reading up a bit, looks like insurance company cut-offs are influencing how people are being categorised and treated.
But wait a minute. Kidney function declines with age in almost everyone, and the proportion of older people with G.F.R. readings below 60 approaches 50 percent, studies have found. As the older adult population grows, the prevalence may rise even higher.
Yet the proportion of older people who will ever reach kidney failure, and thus need dialysis or a transplant, remains very low. People donāt turn to dialysis until their G.F.R. sinks much further, to about 10. In the great majority of older adults, that will never happen.
The lifetime risk of kidney failure in the United States is 3.6 percent for whites and 8 percent for African-Americans, one widely cited study found.
"Instead, Dr. Glassock and others propose that in people older than 65, the diagnosis should require a G.F.R. reading less than 45. At that lower threshold, they estimate, a third to half of the chronic kidney disease diagnosed in older patients would suddenly disappear."
Thoughts on this anyone?