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

Author:

Pépin Marion12ORCID,Klimkowicz‐Mrowiec Aleksandra3ORCID,Godefroy Olivier4,Delgado Pilar5,Carriazo Sol6,Ferreira Ana Carina78,Golenia Aleksandra9,Malyszko Jolanta10,Grodzicki Tomasz3,Giannakou Konstantinos11,Paolisso Giuseppe1213,Barbieri Michelangela12,Garneata Liliana14,Mocanu Carmen Antonia14ORCID,Liabeuf Sophie1516,Spasovski Goce17,Zoccali Carmine1819,Bruchfeld Annette2021,Farinha Ana22,Arici Mustafa23,Capasso Giovambattista2425,Wiecek Andrzej26,Massy Ziad A.127,

Affiliation:

1. INSERM (Institut National de la Santé et de la recherche médicale) Unit 1018, Clinical Epidemiology, CESP (Centre d'Epidemiologie et de Santé des Populations), Hôpital Paul Brousse Paris‐Saclay University and Versailles Saint‐Quentin‐en‐Yvelines University Villejuif France

2. Department of Geriatrics Ambroise Paré University Hospital, APHP (Assistance Publique ‐ Hôpitaux de Paris) Boulogne‐Billancourt/Paris France

3. Department of Internal Medicine and Gerontology Jagiellonian University Medical College Cracow Poland

4. Department of Neurology, Amiens University Hospital, and Laboratory of Functional Neurosciences (Research Unit 4559) Jules Verne University of Picardie (UPJV) Amiens France

5. Department of Neurology, Vall d'Hebron Hospital Universitat Autonoma de Barcelona Barcelona Spain

6. Department of Nephrology and Hypertension Instituto de Investigacion Sanitaria (IIS)‐Fundacion Jimenez Diaz, Autonomous University of Madrid (UAM) Madrid Spain

7. Department of Nephrology Centro Hospitalar e Universitário de Lisboa Central–Hospital Curry Cabral Lisbon Portugal

8. Universidade Nova de Lisboa–Faculdade de Ciências Médicas–Nephology Lisbon Portugal

9. Department of Neurology Medical University of Warsaw Warsaw Poland

10. Department of Nephrology, Dialysis, and Internal Medicine Medical University of Warsaw Warsaw Poland

11. Department of Health Sciences, School of Sciences European University Cyprus Nicosia Cyprus

12. Department of Advanced Medical and Surgical Sciences University of Campania “Luigi Vanvitelli” Naples Italy

13. UniCAMILLUS, International Medical University Roma Italy

14. Department of Internal Medicine and Nephrology “Carol Davila” University of Medicine and Pharmacy, “Dr Carol Davila” Teaching Hospital of Nephrology Bucharest Romania

15. Pharmacology Department Amiens University Medical Center Amiens France

16. MP3CV (Mécanismes physiopathologiques et Conséquences des Calcifications Cardio‐Vasculaires) Laboratory, EA7517 University of Picardie Jules Verne Amiens France

17. University Department of Nephrology, Clinical Center “Mother Theresa” University of Saints Cyril and Methodius Skopje North Macedonia

18. Renal Research Institute New York New York USA

19. Associazione Ipertensione Nefrologia Trapianto Renale Reggio Calabria Italy

20. Department of Health, Medicine, and Caring Sciences Linköping University Linköping Sweden

21. CLINTEC, Renal Medicine, Karolinska University Hospital Karolinska Institutet Stockholm Sweden

22. Department of Nephrology Centro Hospitalar de Setúbal Setubal Portugal

23. Department of Internal Medicine, Division of Nephrology Hacetepe University, Faculty of Medicine Ankara Turkey

24. Biogem (Molecular Biology and Genetics Research Institute) Ariano Irpino Italy

25. Department of Translational Medical Sciences University of Campania Naples Italy

26. Department of Nephrology, Transplantation, and Internal Medicine Medical University of Silesia in Katowice Katowice Poland

27. Department of Nephrology Ambroise Paré University Hospital, APHP Boulogne‐Billancourt/Paris France

Abstract

AbstractBackgroundCognitive impairment is common in patients with chronic kidney disease (CKD), and early intervention may prevent the progression of this condition.MethodsHere, 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.ResultsA particular attention on kidney function assessment is suggested during work‐up for cognitive impairment. Different approaches are promising to reduce cognitive burden in patients with CKD but the availabe dedicated data are scarce.ConclusionsThere is a need for studies assessing the effect of interventions on the cognitive function of patients with CKD.

Publisher

Wiley

Subject

Neurology (clinical),Neurology

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