Neurocognitive Functions in Pediatric Renal Transplant Patients

Gülleroğlu, Kaan; Baskın, Esra; Bayrakci, US; Aydoğan, Mustafa Said; Alehan, Füsun; Kantar, Aslı; Karakayalı, Feza; Moray, Gökhan; Haberal, Mehmet

doi:10.1016/j.transproceed.2013.08.105

Cited by 10 publications

(8 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Academic achievement test scores among post‐transplant patients are comparable to dialysis patients and lower than those among their healthy siblings 46 . Poorer academic performance among post‐transplant patients may be related to lower school attendance, learning disabilities and intelligence scores, and poorer neurocognitive functioning—all of which are consistently found to be lower in this population compared to healthy peers 46,48 . The prevalence of diagnosed ADHD is found to be around 30% in a cohort of kidney and liver transplant patients, as opposed to 6%‐7% in the general population 49 .…”

Section: Neurocognitive Functioningmentioning

confidence: 90%

“…Multiple factors may particularly increase risks for poor academic achievement, including prolonged school absence, inability to attend to instructions even when in school due to disease‐related factors such as fatigue, and attention and neurocognitive difficulties. Lower maternal education is highly associated with lower intellectual skills, possibly due to the relationship between maternal education and the patient's ESRD history and medical management, which in turn impacts important medical factors such as age of dialysis onset and duration of dialysis 46,48,51 . Monitoring patients to determine the level of risk and intervention needed to address neurocognitive factors is important to promote academic functioning and success, adherence, and overall functioning.…”

Section: Neurocognitive Functioningmentioning

confidence: 99%

See 1 more Smart Citation

Psychological functioning and psychosocial issues in pediatric kidney transplant recipients

Amatya

Monnin

Christofferson

2020

Pediatric Transplantation

View full text Add to dashboard Cite

Research demonstrates that psychological factors are important for positive transplant outcomes, though there is little literature that synthesizes these factors in a comprehensive model among pediatric kidney transplant patients. This review analyzes psychological and psychosocial factors related to medical outcomes and overall well‐being post‐transplant by utilizing the PPPHM and referencing the existing literature on risk and resilience. Pediatric kidney transplant recipients are more susceptible to mental health concerns such as depression, anxiety, and ADHD, as well as developmental and neurocognitive delays, compared to healthy peers. Complex medical care and psychosocial needs for patients have implications for family functioning, parental and sibling mental health, and youth readiness to transition to adult care. It is important to carefully monitor patient functioning with empirically validated tools and to intervene in a multidisciplinary setting as early as possible to identify patients at risk and reduce potential negative impact. Psychologists are uniquely trained to assess and address these issues and are a valuable component of multidisciplinary, culturally competent care. While research in this expansive field is improving, more data are needed to establish gold standard approaches to mental health and psychosocial care in this population.

show abstract

Section: Neurocognitive Functioningmentioning

confidence: 90%

Section: Neurocognitive Functioningmentioning

confidence: 99%

Psychological functioning and psychosocial issues in pediatric kidney transplant recipients

Amatya

Monnin

Christofferson

2020

Pediatric Transplantation

View full text Add to dashboard Cite

show abstract

“…In one study, depression and anxiety were found to be more prevalent among HD patients compared with KT subjects [17]. It was shown that successful KT improves kidney, metabolic, endocrine, and mental functions and the quality of life of patients with CKF [3,18,19].…”

Section: Discussionmentioning

confidence: 99%

Kidney Transplantation Is Superior to Hemodialysis and Peritoneal Dialysis in Terms of Cognitive Function, Anxiety, and Depression Symptoms in Chronic Kidney Disease

Özcan

Yücel

Avşar

et al. 2015

Transplantation Proceedings

View full text Add to dashboard Cite

“…Although past research has demonstrated neurocognitive difficulties in kidney , liver , and heart pediatric patients post‐transplant, there are limited data examining patients' cognitive functioning prior to transplantation across organ groups. However, each of these groups has unique reasons for cognitive risk at the time of pretransplant evaluation due to disease processes.…”

Section: Discussionmentioning

confidence: 99%

“…There is evidence suggesting that renal patients may demonstrate subtle improvements in cognitive functioning following transplantation, whereas liver patients were not documented to show pre‐ to post‐transplant improvements . More recently, children with chronic renal failure demonstrated poorer neurocognitive functioning compared to children post‐kidney transplant, which the authors attributed to improved renal, metabolic, and endocrine functioning following transplantation .…”

mentioning

confidence: 99%

Intellectual and academic performance in children undergoing solid organ pretransplant evaluation

Reed-Knight

Lee

Cousins

et al. 2014

Pediatric Transplantation

View full text Add to dashboard Cite

Although prior research has shown lower intellectual functioning across pediatric solid organ transplant recipients relative to matched siblings or norm comparisons, few studies have assessed intellectual and academic performance prior to transplant across organ groups. The current data examine intellectual and academic functioning in children being evaluated for kidney, liver, or heart transplant. This investigation included intellectual and academic testing data from 195 children and adolescents between the ages of six and 19 yr evaluated for solid organ transplantation. Across organ groups, patients' intellectual functioning as estimated by the WASI/WASI-II at the time of pretransplant evaluation was within the average range, but lower compared to test norms. Patients demonstrated lower estimates of word reading, math computation, and spelling skills compared to the normal population, with the exception of heart patients' word reading and spelling skills and liver patients' spelling scores. Cognitive and academic impairments exist in children prior to transplantation. Findings emphasize the support that patients may require to manage the complicated medical regimen and succeed academically. Routine cognitive and academic assessment can inform healthcare providers regarding transplant patients' capacity to take on increasing medical responsibility and successfully reintegrate into the school environment.

show abstract

Neurocognitive Functions in Pediatric Renal Transplant Patients

Cited by 10 publications

References 4 publications

Psychological functioning and psychosocial issues in pediatric kidney transplant recipients

Psychological functioning and psychosocial issues in pediatric kidney transplant recipients

Kidney Transplantation Is Superior to Hemodialysis and Peritoneal Dialysis in Terms of Cognitive Function, Anxiety, and Depression Symptoms in Chronic Kidney Disease

Intellectual and academic performance in children undergoing solid organ pretransplant evaluation

Contact Info

Product

Resources

About