Cognitive decline occurs early in CKD, specifically affecting orientation, attention, and language, which may impair patients' ability to make healthcare decisions.
Cognitive changes occur early in CKD, and skills decline at different rates. Orientation & Attention and Language are particularly affected. The cognitive impact of CKD is likely to diminish patients' capacity to engage with healthcare decisions. An individual's cognitive trajectory may deviate from average.
Berger et al. (Thu,) studied this question.