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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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Patient-reported cognitive functioning and daily functioning in chronic dialysis patients
Mi-Kyung Song1, Sandra E Ward, Eric Bair
1Adult/Geriatric Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Hemodialysis International. International Symposium on Home Hemodialysis
|August 12, 2014
Summary
Patient-reported cognitive function in dialysis patients modestly correlates with objective tests but significantly predicts daily functioning. Subjective assessments offer valuable clinical insights for managing dialysis patients.
Area of Science:
- Nephrology
- Neuropsychology
- Gerontology
Background:
- Subjective cognitive impairment impacts daily life, quality of life, and healthcare usage.
- It can predict future cognitive decline in various patient groups.
- Dialysis patients lack evaluated subjective measures for multidimensional cognitive function.
Purpose of the Study:
- Examine the association between subjective and objective cognitive functioning in dialysis patients.
- Investigate the relationship between subjective/objective cognitive functioning and everyday functioning in this population.
Main Methods:
- Utilized baseline data from a longitudinal observational study on quality of life in dialysis patients.
- Administered a telephone-based neuropsychological battery (Brief Test of Adult Cognition by Telephone) for objective cognitive function.
- Employed the Patient's Assessment of Own Functioning Inventory for subjective cognitive function and ADL/IADL scales for everyday functioning.
Main Results:
- A modest correlation (r=0.33) was found between subjective and objective cognitive functioning, after controlling for age and education.
- Subjective cognitive functioning, not objective, significantly predicted both Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL).
Conclusions:
- Subjective cognitive functioning measures hold potential clinical value in dialysis patient assessment.
- These measures can optimize clinical assessment and management, complementing objective tests.
- Subjective reports are crucial for understanding the everyday functional impact in dialysis patients.
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