{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:59:46Z","timestamp":1785373186655,"version":"3.55.0"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The literature has reported conflicting findings regarding the association between frailty and cognitive impairment in patients with chronic kidney disease (CKD). This systematic review and meta\u2010analysis examined the association between frailty and cognitive impairment in patients with CKD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive search of Embase, PubMed, Scopus, Web of Science, CINAHL, and the Cochrane Central Register of Controlled Trials was conducted from database inception to February 2026. Eligible studies comprised cross\u2010sectional, cohort, case\u2013control, randomized controlled trials, and quasi\u2010experimental studies\u00a0that reported associations between frailty and cognitive impairment in patients with CKD, with no time or language restrictions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 17 studies (9 cross\u2010sectional and 8 cohort) involving 129,868 patients with CKD (mean age 60.88\u2009years) were included in the meta\u2010analysis. The findings indicated that patients with frailty with CKD had significantly higher odds of cognitive impairment than robust patients (odds ratio\u2009=\u20093.13, 95% CI 1.92\u20135.12). Heterogeneity in association size was influenced by study region, frailty measurement methods, and whether covariate adjustments were made during data analysis (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis identified a significant association between frailty and cognitive impairment in patients with CKD. Future prospective cohort studies should assess the causal relationships between frailty and cognitive impairment in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance Statement<\/jats:title>\n                    <jats:p>This study systematically assessed the association between frailty and cognitive impairment in patients with CKD, addressing inconsistent findings in prior research. The results highlight the importance of implementing targeted interventions, particularly for nonfrail CKD patients, to reduce the burden of cognitive impairment and improve patients' outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jnu.70110","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:52:42Z","timestamp":1782816762000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Frailty and Cognitive Impairment in Chronic Kidney Disease: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1178-2936","authenticated-orcid":false,"given":"Hien Thi","family":"Bui","sequence":"first","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"College of Health Sciences VinUniversity  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renny Wulan","family":"Apriliyasari","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Institut Teknologi Kesehatan Cendekia Utama Kudus  Kudus Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quyen Huong Quynh","family":"Bui","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Faculty of Nursing and Medical Technology Can Tho University of Medicine and Pharmacy  Can Tho Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-574X","authenticated-orcid":false,"given":"Pei\u2010Shan","family":"Tsai","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing and Research Center in Nursing Clinical Practice Wan Fang Hospital, Taipei Medical University  Taipei Taiwan"},{"name":"Research Center of Sleep Medicine Taipei Medical University Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2023.100613"},{"key":"e_1_2_11_3_1","volume-title":"ISN\u2013Global Kidney Health Atlas: A Report by the International Society of Nephrology: An Assessment of Global Kidney Health Care Status Focussing on Capacity, Availability, Accessibility, Affordability, and Outcomes of Kidney Disease","author":"Bello A. 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