The elderly patient with low eGFR: beyond the numbers.

Chronic Kidney Disease (CKD) is widely prevalent in the elderly population. The recent "Kidney Disease: Improving Global Outcomes (KDIGO) 2012 Clinical Practice Guideline on the Evaluation and Management of CKD" builds on the previous Kidney Disease Outcomes Quality Initiative (KDOQI) guideline and addresses many of its gaps. However, older adults with CKD have unique characteristics that may not be addressed by general guidelines. This review presents many of the challenges and considerations in the care of elderly patients with CKD, with the ultimate goal of promoting an individualized management plan based on shared decision-making.