Evidence map›Paper›PMID 26634566›Full record

ArticlePeritoneal dialysis international : journal of the International Society for Peritoneal Dialysis

Prevalence of Cognitive Impairment Among Peritoneal Dialysis Patients, Impact on Peritonitis and Role of Assisted Dialysis.

Yat Fung Shea, Man Fai Lam, Mi Suen Connie Lee, Ming Yee Maggie Mok, Sing-Leung Lui, Terence P S Yip, Wai Kei Lo, Leung Wing Chu, Tak-Mao Chan

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In one paragraph

Article in Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  16. [Association of malnutrition-inflammation-cardiovascular disease with cognitive deterioration in peritoneal dialysis patients].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2019
    Article
  17. Article
  18. Psychosocial predictors of nonadherence to medical management among patients on maintenance dialysis.International journal of nephrology and renovascular disease · 2016
    Article
  19. A Syllabus for Teaching Peritoneal Dialysis to Patients and Caregivers.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Yat Fung SheaDivision of Geriatrics, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Man Fai LamDivision of Nephrology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong feimflam@gmail.com.
Mi Suen Connie LeeDepartment of Occupation Therapy, Queen Mary Hospital, Hong Kong.
Ming Yee Maggie MokDivision of Nephrology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Sing-Leung LuiDivision of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong.
Terence P S YipDivision of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong.
Wai Kei LoDivision of Nephrology, Department of Medicine, Tung Wah Hospital, Hong Kong.
Leung Wing ChuDivision of Geriatrics, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Tak-Mao ChanDivision of Nephrology, Department of Medicine, LKS Faculty of Medicine, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Queen Mary Hospital · CNTung Wah Hospital · CNUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelled♦

backgroundChronic renal failure and aging are suggested as risk factors for cognitive impairment (CI). We studied the prevalence of CI among peritoneal dialysis (PD) patients using Montreal Cognitive Assessment (MoCA), its impact on PD-related peritonitis in the first year, and the potential role of assisted PD. ♦

methodsOne hundred fourteen patients were newly started on PD between February 2011 and July 2013. Montreal Cognitive Assessment was performed in the absence of acute illness. Data on patient characteristics including demographics, comorbidities, blood parameters, dialysis adequacy, presence of helpers, medications, and the number PD-related infections were collected. ♦

resultsThe age of studied patients was 59±15.0 years, and 47% were female. The prevalence of CI was 28.9%. Patients older than 65 years old (odds ratio [OR] 4.88, confidence interval [CI] 1.79 - 13.28 p = 0.002) and with an education of primary level or below (OR 4.08, CI 1.30 - 12.81, p = 0.016) were independent risk factors for CI in multivariate analysis. Patients with PD-related peritonitis were significantly older (p < 0.001) and more likely to have CI as defined by MoCA (p = 0.035). After adjustment for age, however, CI was not a significant independent risk factor for PD-related peritonitis among self-care PD patients (OR 2.20, CI 0.65 - 7.44, p = 0.20). When we compared patients with MoCA-defined CI receiving self-care and assisted PD, there were no statistically significant differences between the 2 groups in terms of age, MoCA scores, or comorbidities. There were also no statistically significant differences in 1-year outcome of PD-related peritonitis rates or exit-site infections. ♦

conclusionCognitive impairment is common among local PD patients. Even with CI, peritonitis rate in self-care PD with adequate training is similar to CI patients on assisted PD.

Indexed as

Peritoneal DialysisAdultAgedAge FactorsCognitive DysfunctionCohort StudiesFemaleHumansKidney Failure, ChronicMaleMiddle AgedPeritonitisPrevalenceRisk FactorsSelf CareCognitive impairmentperitoneal dialysis, peritonitis

Identifiers

PMID26634566
PMCPMC4881791
OpenAlexW2280255802

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.