TY - JOUR
T1 - Assessment of competences of predialysis chronic kidney disease stage 5 patients to make treatment decisions
T2 - Preliminary report
AU - Terawaki, Hiroyuki
AU - Sato, Toshinobu
AU - Miura, Nobuyoshi
AU - Saito, Keiko
AU - Mifune, Naoko
AU - Shoji, Wataru
AU - Sato, Hironao
AU - Yokota, Ayano
AU - Sugiura, Akira
AU - Iwabuchi, Masashi
AU - Miyata, Masahiro
AU - Murata, Yaeko
AU - Nakayama, Keisuke
AU - Suzuki, Junpei
AU - Nakamura, Masaki
AU - Ito, Sadayoshi
AU - Nakayama, Masaaki
AU - Ueno, Takashi
PY - 2008
Y1 - 2008
N2 - The competence to consent to treatment of 26 adults with stage 5 predialysis chronic kidney disease (CKD) (16 males, 10 females, age ; 58±11 years, creatinine clearance ; 10.1±3.9 mL/min) was assessed using two kinds of format : the MacArthur Competence Assessment Tool-Treatment (MacCAT-T) and mini-mental-state examination (MMSE). The MacCAT-T revealed poor ability for understanding (3.72±1.11 points ; perfect score, 6 points), appreciating (2.88±0.88 points ; perfect score, 4 points) and reasoning (4.30±2.11 points ; perfect score, 8 points). The MMSE revealed poor performance on the attentional task. The level of attentional deficit was significantly related to both poor ability for understanding and reasoning (r=0.432, p=0.031 and r=0.542, p=0.014, respectively). These results suggest that the competence of predialysis CKD stage 5 patients to consent to treatment is impaired partly via an attentional deficit.
AB - The competence to consent to treatment of 26 adults with stage 5 predialysis chronic kidney disease (CKD) (16 males, 10 females, age ; 58±11 years, creatinine clearance ; 10.1±3.9 mL/min) was assessed using two kinds of format : the MacArthur Competence Assessment Tool-Treatment (MacCAT-T) and mini-mental-state examination (MMSE). The MacCAT-T revealed poor ability for understanding (3.72±1.11 points ; perfect score, 6 points), appreciating (2.88±0.88 points ; perfect score, 4 points) and reasoning (4.30±2.11 points ; perfect score, 8 points). The MMSE revealed poor performance on the attentional task. The level of attentional deficit was significantly related to both poor ability for understanding and reasoning (r=0.432, p=0.031 and r=0.542, p=0.014, respectively). These results suggest that the competence of predialysis CKD stage 5 patients to consent to treatment is impaired partly via an attentional deficit.
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M3 - Article
C2 - 19069150
AN - SCOPUS:57349167709
VL - 50
SP - 915
EP - 926
JO - Japanese Journal of Nephrology
JF - Japanese Journal of Nephrology
SN - 0385-2385
IS - 7
ER -