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Prevalence of chronic kidney disease-associated pruritus among adult dialysis patients: A meta-analysis of cross-sectional studies.

Abstract Chronic kidney disease (CKD)-associated pruritus is a common adverse symptom in patients with end-stage renal disease treated by dialysis. Herein, a systematic review and meta-analysis of the prevalence of CKD-associated pruritus among adult dialysis patients was conducted.An electronic search of PubMed, Web of Science, Elsevier, Wanfang, and Chinese National Knowledge Infrastructure databases was conducted from inception to November 23, 2016, and all cross-sectional studies that reported the prevalence of CKD-associated pruritus in dialysis were collected. The pooled prevalence was estimated by random-effects model. Potential publication bias was evaluated by the funnel plot as well as Begg and Egger tests.After rigorous screening, a total of 42 studies conducted on 11,800 patients were included in this study. The overall prevalence of CKD-associated pruritus among adult dialysis patients was 55% (95% confidence interval [CI], 49-61, I = 97.6%), the stratification of which was 55% (95% CI, 45-65, I = 94.7%) in men and 55% (95% CI, 46-65, I = 93.3%) in women. In hemodialysis (HD) patients, the prevalence of CKD-associated pruritus was 55% (95% CI, 49-62, I = 97.9%), while in peritoneal dialysis (PD) patients, it was 56% (95% CI, 44-68, I = 89.9%). The prevalence of CKD-associated pruritus for mean dialysis duration <40 months was 56% (95% CI, 48-63, I = 75.1%), while that for mean dialysis duration ≥40 months was 50% (95% CI, 36-64, I = 99.1%).The prevalence of CKD-associated pruritus is high in HD and PD. The prevalence among adult dialysis patients is comparable between China and foreign countries as well as between females and males. Studies with the similar disease definition and analysis of the effects of risk factors on CKD-associated pruritus are needed.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29794739
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 21
DP  - 2018 May
TI  - Prevalence of chronic kidney disease-associated pruritus among adult dialysis
      patients: A meta-analysis of cross-sectional studies.
PG  - e10633
LID - 10.1097/MD.0000000000010633 [doi]
AB  - Chronic kidney disease (CKD)-associated pruritus is a common adverse symptom in
      patients with end-stage renal disease treated by dialysis. Herein, a systematic
      review and meta-analysis of the prevalence of CKD-associated pruritus among adult
      dialysis patients was conducted.An electronic search of PubMed, Web of Science,
      Elsevier, Wanfang, and Chinese National Knowledge Infrastructure databases was
      conducted from inception to November 23, 2016, and all cross-sectional studies
      that reported the prevalence of CKD-associated pruritus in dialysis were
      collected. The pooled prevalence was estimated by random-effects model. Potential
      publication bias was evaluated by the funnel plot as well as Begg and Egger
      tests.After rigorous screening, a total of 42 studies conducted on 11,800
      patients were included in this study. The overall prevalence of CKD-associated
      pruritus among adult dialysis patients was 55% (95% confidence interval [CI],
      49-61, I = 97.6%), the stratification of which was 55% (95% CI, 45-65, I = 94.7%)
      in men and 55% (95% CI, 46-65, I = 93.3%) in women. In hemodialysis (HD)
      patients, the prevalence of CKD-associated pruritus was 55% (95% CI, 49-62, I =
      97.9%), while in peritoneal dialysis (PD) patients, it was 56% (95% CI, 44-68, I 
      = 89.9%). The prevalence of CKD-associated pruritus for mean dialysis duration
      &lt;40 months was 56% (95% CI, 48-63, I = 75.1%), while that for mean dialysis
      duration &gt;/=40 months was 50% (95% CI, 36-64, I = 99.1%).The prevalence of
      CKD-associated pruritus is high in HD and PD. The prevalence among adult dialysis
      patients is comparable between China and foreign countries as well as between
      females and males. Studies with the similar disease definition and analysis of
      the effects of risk factors on CKD-associated pruritus are needed.
FAU - Hu, Xinmiao
AU  - Hu X
AD  - Department of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong
      University, Shanghai.
FAU - Sang, Yan
AU  - Sang Y
AD  - Department of Nursing, Affiliated Hospital of Nantong University.
FAU - Yang, Mei
AU  - Yang M
AD  - Department of Ophthalmology, Affiliated Hospital of Nantong University, Nantong.
FAU - Chen, Xue
AU  - Chen X
AD  - Art College, Nanjing Audit University, Nanjing, Jiangsu, China.
FAU - Tang, Wenjuan
AU  - Tang W
AD  - Department of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong
      University, Shanghai.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Observational Studies as Topic
MH  - Prevalence
MH  - Pruritus/*epidemiology/etiology
MH  - Renal Dialysis/*adverse effects
MH  - Renal Insufficiency, Chronic/*complications/therapy
MH  - Risk Factors
EDAT- 2018/05/26 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/05/26 06:00
PHST- 2018/05/26 06:00 [entrez]
PHST- 2018/05/26 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 10.1097/MD.0000000000010633 [doi]
AID - 00005792-201805250-00015 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(21):e10633. doi: 10.1097/MD.0000000000010633.