Erratum to: Cognitive disorders in patients with chronic kidney disease: specificities of clinical assessment

Pépin, Marion; Ferreira, Ana Carina; Arıcı, Mustafa; Bachmann, Maie; Barbieri, Michelangela; Bumblytė, Inga Arūnė; Carriazo, Sol; Delgado, Pilar; Gârneaţă, Liliana; Giannakou, Konstantinos; Godefroy, Olivier; Grodzicki, Tomasz; Klimkowicz‐Mrowiec, Aleksandra; Kurganaite, Justina; Liabeuf, Sophie; Mocanu, Carmen Antonia; Paolisso, Giuseppe; Spasovski, Goce; Vazelov, Evgueniy; Viggiano, Davide; Zoccali, Carmine; Massy, Ziad A.; Wiȩcek, Andrzej

doi:10.1093/ndt/gfab339

Cited by 12 publications

(15 citation statements)

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“…Sleep disturbances and/or depression are frequent in patients with CKD. Both of these conditions have negative effects on cognitive performance [44]. Sleep-disordered breathing, commonly known as sleep apnea, is widely prevalent among individuals with CKD and has been observed to impact cognitive testing in CKD patients, leading to detrimental effects on cognitive functioning [45,46].…”

Section: Sleep Disturbances and Depressionmentioning

confidence: 99%

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Cognitive disorders in patients with chronic kidney disease: Approaches to prevention and treatment

Pépin

Klimkowicz‐Mrowiec

Godefroy

et al. 2023

Euro J of Neurology

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Background: Cognitive impairment is common in patients with chronic kidney disease (CKD), and early intervention may prevent the progression of this condition.Methods: Here, we review interventions for the complications of CKD (anemia, secondary hyperparathyroidism, metabolic acidosis, harmful effects of dialysis, the accumulation of uremic toxins) and for prevention of vascular events, interventions that may potentially be protective against cognitive impairment. Furthermore, we discuss nonpharmacological and pharmacological methods to prevent cognitive impairment and/or minimize the latter's impact on CKD patients' daily lives.Results: A particular attention on kidney function assessment is suggested during workup for cognitive impairment. Different approaches are promising to reduce cognitive burden in patients with CKD but the availabe dedicated data are scarce.Conclusions: There is a need for studies assessing the effect of interventions on the cognitive function of patients with CKD.

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Section: Sleep Disturbances and Depressionmentioning

confidence: 99%

“…An RCT is currently looking at whether intradialytic combined cognitive and exercise training can efficaciously preserve cognitive health [90]. One can assume that stimulation of this type improves cognitive performance by reducing depressive symptoms and improving quality of life [44].…”

Section: Introductionmentioning

confidence: 99%

Cognitive disorders in patients with chronic kidney disease: Approaches to prevention and treatment

Pépin

Klimkowicz‐Mrowiec

Godefroy

et al. 2023

Euro J of Neurology

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“…Data on the prevalence of CI in kidney transplant recipients are limited, different criteria to assess cognitive function are used between studies, and there are no formally validated screening tests for kidney transplant recipients [12]. It is known that patients and their caregivers can potentially benefit from CI screening, such as education and support for patients and their caregivers, modification of pharmacotherapy, or identification of potentially reversible causes of dementia, such as depression, side effects of drugs, drug, or alcohol abuse [13]. Furthermore, depression and/or anxiety may coexist with any stage of CKD and may affect cognitive test results [14].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Impairment and Anxiety Are Prevalent in Kidney Transplant Recipients

Golenia,

Olejnik,

Żołek

et al. 2023

Kidney Blood Press Res

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Introduction: Cognitive impairment (CI) is common in end-stage kidney disease (ESKD), including kidney transplant recipients. Patients with cognitive problems may find it difficult to comply with medical recommendations after kidney transplantation (KT), which can be the cause of many complications, poorer prognosis, and increased hospitalization rates after transplantation. Additionally, some patients after KT may experience depression and anxiety, which are prevalent comorbidities in patients with ESKD. Methods: In this single-center, cross-sectional study, we included 56 consecutive adult patients after KT. Cognitive function was assessed using the Addenbrooke Cognitive Test III (ACE III). In addition, all patients were screened for depression and anxiety using the Hospital Anxiety and Depression Scale (HADS). The impact of immunosuppressive therapy and other disease-related variables on cognitive function was also assessed. Results: A total of 56 KT patients, with a mean age of 50.3 ± 11.7 years, transplanted ≤35 months ago were included in the study. The prevalence of CI was 30%. Compared with cognitively unimpaired patients, patients with CI scored significantly lower in all cognitive domains. Furthermore, better cognitive functioning after KT was significantly associated with more years of schooling. We found no significant correlation between CI and age at assessment, duration of dialysis before KT, creatinine levels, creatinine clearance, uric acid levels, hemoglobin levels, comorbid cardiovascular diseases, and immunosuppressive therapy. In addition, the prevalence of depression and anxiety in screening tests was 12.5% and 27%, respectively, and patients receiving higher daily dose of prednisone had higher HADS scores on both the depression and anxiety subscales (not statistically significant). Discussion: Cognitive disorders are a relevant issue in kidney transplant recipients. There might be many factors, both before and after KT, that have a negative impact on cognition. Therefore, further research is needed to increase knowledge about the course and profile of cognitive function after KT.

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“…There is increased awareness of the need for more patient‐centred approaches for the management of the substantial burden of physical and psychological symptoms that are not adequately addressed by usual treatment strategies (Kalantar‐Zadeh et al., 2022). In addition to dialysis therapy and pharmacotherapies targeting underlying diseases and complications linked to CKD, strategies based on a holistic perspective—involving nonpharmacological interdisciplinary interventions aiming at increasing physical activity and improving the nutritional, cognitive and emotional state of the patients may provide additional benefits including enhancing the HRQoL of patients and their carers (Kalantar‐Zadeh et al., 2021; Pépin et al., 2021). Before recommending general application of these types of interventions, which are currently scarce, it is important to analyse patients' own perceptions of their needs, barriers and facilitators associated with self‐implementation of these promoters of health (Lunney et al., 2018; Tam‐Tham et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Patients with advanced stages of chronic kidney disease (CKD) often suffer from comorbidities such as cardiovascular, cerebrovascular and peripheral vascular diseases, and diabetes that together with malnutrition and frailty contribute to a sedentary lifestyle, cognitive and emotional impairments (Pépin et al., 2021), increased dependency, and decreased health‐related quality of life (HRQoL) (Chan, 2021; Charles & Ferris, 2020; Harnett et al., 2018; Ortega‐Pérez de Villar et al., 2020; Schouten et al., 2020; Shoji et al., 2022). These problems remain despite the large societal and healthcare costs of CKD stages 4 and 5, not least for those undergoing dialysis (Kalantar‐Zadeh et al., 2021; Pépin et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Needs, barriers and facilitators for a healthier lifestyle in haemodialysis patients: The GoodRENal project

Mesa‐Gresa,

Avesani,

Clyne

et al. 2023

Journal of Clinical Nursing

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BackgroundMalnutrition, sedentary lifestyle, cognitive dysfunction and poor psychological well‐being are often reported in patients on haemodialysis (HD).AimsWe aimed to explore needs, barriers and facilitators—as perceived by patients, their carers, and healthcare professionals (HCPs) for increasing the adherence to the diet, to physical activity and cognition and psychological well‐being.MethodsThis is an observational cross‐sectional study following the STROBE statement. This study is part of an ERASMUS+ project, GoodRENal—aiming to develop digital tools as an educational approach to patients on HD. For that, the GoodRENal comprises HD centers located in four Belgium, Greece, Spain and Sweden. Exploratory questionnaires were developed regarding the perceived needs, barriers and facilitators regarding the diet, physical activity, cognition and psychological well‐being from the perspective of patients, their carers and HCPs.ResultsIn total, 38 patients, 34 carers and 38 HCPs were included. Nutrition: For patients and carers, the main needs to adhere to the diet included learning more about nutrients and minerals. For patients, the main barrier was not being able to eat what they like. Physical activity: As needs it was reported information about type of appropriate physical activity, while fatigue was listed as the main barrier. For Cognitive and emotional state, it was perceived as positive for patients and carers perception but not for HCPs. The HCPs identified as needs working as a team, having access to specialised HCP and being able to talk to patients in private.ConclusionsPatients and their carers listed as needs guidance regarding nutrition and physical activity but were positive with their cognitive and emotional state. The HCPs corroborated these needs and emphasised the importance of teamwork and expert support.

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Erratum to: Cognitive disorders in patients with chronic kidney disease: specificities of clinical assessment

Cited by 12 publications

References 0 publications

Cognitive disorders in patients with chronic kidney disease: Approaches to prevention and treatment

Cognitive disorders in patients with chronic kidney disease: Approaches to prevention and treatment

Cognitive Impairment and Anxiety Are Prevalent in Kidney Transplant Recipients

Needs, barriers and facilitators for a healthier lifestyle in haemodialysis patients: The GoodRENal project

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