ArticleTransplant international : official journal of the European Society for Organ Transplantation2026
Assessing and cataloguing cognitive impairment in older potential kidney transplant patients: key recommendations from the ethical and legal issues working group of ELPAT.
Article in Transplant international : official journal of the European Society for Organ Transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cognitive impairment is common in older patients with advanced kidney disease and may influence access to and outcomes from kidney transplantation. However, its assessment and documentation within transplant evaluation remain inconsistent, with important ethical and legal implications. This position paper from the Ethical and Legal Issues Working Group of ELPAT synthesises current evidence, ethical and legal frameworks, and findings from a UK-wide national survey to propose a structured approach to the assessment and documentation of cognitive impairment in older potential kidney transplant recipients. Survey data demonstrate substantial variability in screening practices, documentation, and capacity assessment during transplant workup, contrasting with the standardised evaluation of other transplant domains. Cognitive impairment may affect decision-making capacity, perioperative risk, post-transplant self-management, and graft outcomes, raising important ethical considerations regarding autonomy, equity, and resource allocation. We recommend routine screening using validated tools, standardised documentation within clinical records and registries, use of these data to inform policy and research, prioritisation of cognitive outcomes in future studies, and targeted education and training in cognitive and capacity assessment. Embedding these measures within transplant pathways will support equitable access, informed decision-making, and improved outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.