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Kidney-brain session. Started by Mark Unruh

Cognitive impairment: 20-40% prevalence in ESKD.

Difficulties with numeracy strongly associated with cognitive performance.

How do we tailor discussions re treatment among other things with this in mind?

#Kidneywk
80% of patients in the COGNITIVE HD study were impaired in one cognitive domain.

ncbi.nlm.nih.gov/m/pubmed/29186…

#KidneyWk
Better executive function has been associated with better survival.

ncbi.nlm.nih.gov/m/pubmed/25240…

#KidneyWk
A meta analysis suggests PD patients had better cognitive function and lower dementia risk.

ncbi.nlm.nih.gov/m/pubmed/30732…

What about a selection bias? There is a bias driving this as shown by this study ncbi.nlm.nih.gov/m/pubmed/29728…

#KidneyWk
An audience question: while more frequent dialysis or transplant doesn’t reverse dementia, is there any evidence that progression is slowed with these modalities?

No data to date.

#KidneyWk
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