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Cognitive Function in Patients With Chronic Kidney Disease: Challenges in Neuropsychological Assessments
Sabrina M Schneider1, Jan T Kielstein2, Jennifer Braverman3
1Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany.
Seminars in Nephrology
|September 11, 2015
Summary
Cognitive dysfunction is common in chronic kidney disease (CKD). Early cognitive testing in CKD patients can improve quality of life and survival.
Area of Science:
- Nephrology
- Neurology
- Psychology
Background:
- Cognitive dysfunction is a frequent yet overlooked symptom in patients with chronic kidney disease (CKD).
- Understanding the pathophysiological basis of cognitive impairment in CKD is crucial for effective management.
- The clinical relevance of cognitive impairment in CKD necessitates focused attention and research.
Purpose of the Study:
- To review the clinical significance of cognitive impairment in chronic kidney disease (CKD) patients.
- To summarize and evaluate current neurocognitive tests for utility in clinical practice.
- To identify future research directions for cognitive dysfunction in CKD.
Main Methods:
- Literature review of studies on cognitive dysfunction in CKD.
- Analysis of pathophysiological mechanisms contributing to cognitive impairment.
- Evaluation of neurocognitive assessment tools for CKD patients.
Main Results:
- Cognitive impairment is a significant clinical issue in CKD patients.
- Various neurocognitive tests exist, but their practical application in routine care requires further evaluation.
- Integrating cognitive function testing into routine CKD care may offer cost-effectiveness.
Conclusions:
- Cognitive impairment is a critical aspect of chronic kidney disease care.
- Routine cognitive function testing in CKD patients could enhance medication adherence, improve quality of life, and potentially increase survival.
- Further research is needed to optimize cognitive assessment and intervention strategies for CKD.
Keywords:
Cognitive impairmentchronic kidney diseasecognitive dysfunctiondialysisneuropsychological testingMore Related Videos
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