Geriatr Psychol Neuropsychiatr Vieil. 2026 Jun 1;24(2):149-157. doi: 10.1684/pnv.2026.1271.
ABSTRACT
Chronic kidney disease (CKD) prevalence increases with age and is frequently associated with geriatric syndromes. These situations may require close collaboration between nephrologists and geriatricians. However, in France, little is known about the current state of such collaborations or the training needs expressed by geriatricians regarding nephrological care for older adults. To identify nephrogeriatric collaborations and geriatricians' wishes for training in this field, a questionnaire was developed by the Action Group in Nephrology of Older Persons (Granpa) of the Société française de gériatrie et gérontologie (SFGG) and was disseminated through its constitutive societies between March and May 2025. Among 252 geriatricians, 89% reported having access to a nephrologist and 37% identified someone to refer to for nephrogeriatric questions. Geriatricians reported referring to nephrologists more frequently than the reverse. The most frequent need of geriatricians was the discussion of care plan for stages 4/5 CKD without prior follow-up. The most frequent reason for referral to geriatricians by nephrologists was neurocognitive disorders, delirium and then shared decision about dialysis. Geriatricians with previous advanced training in nephrology were more frequently involved in shared decision-making process about dialysis. Training in nephrology was desired by 75% of geriatricians, in particular on metabolic, bone and cardiovascular complications of CKD (60%), non-stage 5 CKD (46%) and drug management in renal failure (38%). This survey highlights frequent nephro-geriatric collaborations in France, but also a significant need for geriatrician training, particularly on CKD care.
PMID:42412499 | DOI:10.1684/pnv.2026.1271