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Updated: May 22, 2025
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
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Cognitive impairment in kidney transplanted patients
Jolanta Malyszko1, Aleksandra Golenia2, Michele Farisco3,4
1Department of Nephrology, Dialysis and Internal Medicine, Warsaw Medical University, Warsaw, Poland.
Summary
Cognitive impairment is common in kidney transplant patients, affecting memory, attention, and executive function. Early screening and management are crucial for better patient outcomes and addressing ethical concerns.
Area of Science:
- Nephrology
- Neurology
- Transplantation Medicine
Background:
- Chronic kidney disease impacts multiple organs, with increasing focus on kidney-central nervous system connections.
- Kidney replacement therapy, including transplantation, is associated with higher rates of cognitive impairment and neurological issues.
- Neurological complications include cerebrovascular and movement disorders, alongside depression.
Purpose of the Study:
- To review key issues concerning cognitive impairment in kidney transplant recipients.
- To examine mechanisms, patterns, and evaluation of cognitive impairment in this population.
- To discuss the impact on patient care, interventions, and ethical considerations.
Main Methods:
- Review of existing literature on cognitive impairment in kidney transplant patients.
- Focus on mechanisms, patterns, and risk factors.
- Exploration of pre- and post-transplant evaluation strategies.
Main Results:
- Cognitive impairment, affecting memory, attention, and executive function, is prevalent in kidney transplant recipients.
- Early diagnosis and assessment of risk factors are vital for effective management.
- Partial recovery of cognitive function post-transplant is possible but requires attention.
Conclusions:
- Cognitive impairment in kidney transplant recipients is underrecognized but clinically significant.
- Routine screening for cognitive function before and after transplantation is recommended.
- Addressing psychological and ethical issues is essential in kidney transplantation care.
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