Photo of Mark Swidler

Mark A Swidler, MD

    • Language
    • English
    • Hospital Affiliation
    • Mount Sinai Hospital


Geriatric Nephrology and Renal Palliative Care
The study of various aspects of aging and geriatric syndromes in the renal population is part of the developing field of geriatric nephrology which brings a geriatric perspective into the care of the elderly renal population with their high degree of frailty, complex pharmacology, cognitive and functional impairment, depression, and large symptom burden. Additionally, dialysis issues in the chronic outpatient and acute care settings have become more intricate from both a medical management and a bioethical standpoint. Utilizing palliative care concepts in order to optimize functionality, symptom control, and shared decision-making will allow patients and their families to better cope with the chronic progressive nature of CKD and help them navigate through end-of-life decisions. Integrating geriatrics and palliative medicine principals into the practice of nephrology will improve the management of these challenging patients. Establishing geriatric CKD data bases and studying the biology of chronic renal disease in the context of aging will help elucidate mechanisms of progression and allow earlier identification of patients at risk who need intervention.

Dr. Swidler  is the Director of the Integrated Nephrology and Geriatric/Palliative Medicine Fellowship.

T. Franklin Williams Scholar 2005


BA, State University of New York at Binghamton