Cognitive disorders in patients with chronic kidney disease: Approaches to prevention and treatment.
Marion PépinAleksandra Klimkowicz-MrowiecOlivier GodefroyPilar DelgadoSol CarriazoAna Carina FerreiraAleksandra GoleniaJolanta MalyszkoTomasz GrodzickiKonstantinos GiannakouGiuseppe PaolissoMichelangela BarbieriLiliana GarneataCarmen Antonia MocanuSophie LiabeufGoce SpasovskiCarmine ZoccaliAnnette BruchfeldAna FarinhaMustafa AriciGiovambattista CapassoAndrzej WiecekZiad A Massynull nullPublished in: European journal of neurology (2023)
Cognitive impairment is common in patients with chronic kidney disease (CKD), and early intervention may prevent the progression of this condition. 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 non-pharmacological and pharmacological methods to prevent cognitive impairment and/or minimize the latter's impact on CKD patients' daily lives.