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January 29, 2013; 80 (5) Article

Frequency of and risk factors for poor cognitive performance in hemodialysis patients

Mark J. Sarnak, Hocine Tighiouart, Tammy M. Scott, Kristina V. Lou, Eric P. Sorensen, Lena M. Giang, David A. Drew, Kamran Shaffi, James A. Strom, Ajay K. Singh, Daniel E. Weiner
First published January 9, 2013, DOI: https://doi.org/10.1212/WNL.0b013e31827f0f7f
Mark J. Sarnak
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Hocine Tighiouart
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Tammy M. Scott
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Kristina V. Lou
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Eric P. Sorensen
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Lena M. Giang
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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David A. Drew
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Kamran Shaffi
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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James A. Strom
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Ajay K. Singh
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Daniel E. Weiner
From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
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Full PDF
Citation
Frequency of and risk factors for poor cognitive performance in hemodialysis patients
Mark J. Sarnak, Hocine Tighiouart, Tammy M. Scott, Kristina V. Lou, Eric P. Sorensen, Lena M. Giang, David A. Drew, Kamran Shaffi, James A. Strom, Ajay K. Singh, Daniel E. Weiner
Neurology Jan 2013, 80 (5) 471-480; DOI: 10.1212/WNL.0b013e31827f0f7f

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Article Information

vol. 80 no. 5 471-480
DOI: 
https://doi.org/10.1212/WNL.0b013e31827f0f7f
PubMed: 
23303848

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
0028-3878
Online ISSN: 
1526-632X
History: 
  • Received May 29, 2012
  • Accepted September 17, 2012
  • First Published January 9, 2013.

Article Versions

  • Previous version (January 9, 2013 - 13:03).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2013 American Academy of Neurology

Author Disclosures

    1. Mark J. Sarnak, MD, MS,
    2. Hocine Tighiouart, MS,
    3. Tammy M. Scott, PhD,
    4. Kristina V. Lou, MS, MPH,
    5. Eric P. Sorensen,
    6. Lena M. Giang,
    7. David A. Drew, MD,
    8. Kamran Shaffi, MD,
    9. James A. Strom, MD,
    10. Ajay K. Singh, MD and
    11. Daniel E. Weiner, MD, MS
  1. Mark J. Sarnak, MD, MS,
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. Editorial Board Annals of Internal Medicine 2010-2013

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. Data Safety monitoring board of trial of vitamin D in kidney disease

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NIH. K24, and 2 RO1 grant applications. Listed in Manuscript

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Hocine Tighiouart, MS,
  4. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. American Journal of Kidney Diseases, Statistical Editor, 5 years

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Tammy M. Scott, PhD,
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NIH/NCRR, UL1 RR025752, Role: Research methodologist, Research Design and Conduct center NIH, 1 R01 DK065114-01, Role: Co-Investigator NIH, NGA-5U01-AG020480-06, Role: Co-Investigator NIH, 1R21DK070249-01, Role: Co-Investigator

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Kristina V. Lou, MS, MPH,
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Eric P. Sorensen,
  10. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Lena M. Giang,
  12. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. David A. Drew, MD,
  14. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. American Society of Nephrology

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Kamran Shaffi, MD,
  16. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  17. James A. Strom, MD,
  18. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  19. Ajay K. Singh, MD and
  20. Scientific Advisory Boards:
    1. US Department of the Army, Member of DSMB

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. Editor, Biosimilars

    Patents:
    1. NONE

    Publishing Royalties:
    1. Springer, Core Concepts Renal Transplantation 2011

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Sandoz, Member of Steering Committee Rockwell, PI of study

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Janssen Cilag, GRID Study

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. Expert witness, 2011, US Attorney's Office, acting for the defense

  21. Daniel E. Weiner, MD, MS
  22. Scientific Advisory Boards:
    1. Served on a scientific advisory board in March 2011 for Takeda Biopharmaceuticals.

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. Deputy Editor, American Journal of Kidney Diseases

    Patents:
    1. NONE

    Publishing Royalties:
    1. Editor of the Primer on Kidney Diseases, 6th Edition. Potential to receive royalties.

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Research funding, Keryx (Site PI) Research funding, Dialysis Clinic, Inc. (Investigator Initiated) Research funding, Covidien (Co-Investigator, Boston Site)

    Research Support, Government Entities:
    1. NIDDK R01 DK090401(Co-PI), 09/20/2011-08/31/2015; Exercise Training and Cognitive and Physical Function in CKD NIH 268200900047C-0-0-1 (Role: Site PI); 11/01/2009-10/30/2018; The Systolic Blood Pressure Intervention Trial (SPRINT) NIK/NHLBI R01 HL107241 (Role: Site PI) 09/01/2011-06/30/2012; Pulse Wave Velocity and Central Aortic Pressure Outcomes in SPRINT NIH/NIDDK K23 DK071636 Role: PI; 09/30/2005-06/30/2011; Kidney Disease, Stroke and Cognitive Impairment

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. Carl W Gottschalk Research Scholar Grant; (PI: Weiner); 10/01/2010-09/30/2012; American Society of Nephrology; Medical, Economic and Ecologic Effects of Dialyzer Reprocessing Paul Teschan Research & Development Fund (Role: PI); 12/01/2009-11/30/2011; Administered by Dialysis Clinic, Inc; Transglutaminase 2 and Vascular Calcification in Chronic Kidney Disease: A Pilot Study

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. From the Division of Nephrology (M.J.S., K.V.L., E.P.S., L.M.G., D.A.D., K.S., D.E.W.), Department of Medicine, Department of Psychiatry (T.M.S.), and Biostatistics Research Center (H.T.), Tufts Medical Center, Boston; Division of Nephrology (J.A.S.), St. Elizabeth's Medical Center, Brighton; and Division of Nephrology (A.K.S.), Brigham and Women's Hospital, Boston, MA.
  1. Correspondence to Dr. Sarnak: msarnak{at}tuftsmedicalcenter.org
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