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• W2777416473 abstract "Sleep disorders are commonly experienced by people with chronic kidney disease (CKD). Several approaches for improving sleep quality are used in clinical practice including relaxation techniques, exercise, acupressure, and medication.To assess the effectiveness and associated adverse events of interventions designed to improve sleep quality among adults and children with CKD including people with end-stage kidney disease (ESKD) treated with dialysis or kidney transplantation.We searched the Cochrane Kidney and Transplant Register of Studies up to 8 October 2018 with the Information Specialist using search terms relevant to this review. Studies in the Register are identified through searches of CENTRAL, MEDLINE, and EMBASE, conference proceedings, the International Clinical Trials Register (ICTRP) Search Portal and ClinicalTrials.gov.We included randomised controlled trials (RCTs) or quasi-randomised RCTs of any intervention in which investigators reported effects on sleep quality. Two authors independently screened titles and abstracts of identified records.Two review authors independently extracted data and assessed the risk of bias for included studies. The primary outcomes were sleep quality, sleep onset latency, sleep duration, sleep interruption, and sleep efficiency. Risks of bias were assessed using the Cochrane tool. Evidence certainty was assessed using the GRADE approach. We calculated treatment estimates as risk ratios (RR) for dichotomous outcomes or mean difference (MD) or standardised MD (SMD) for continuous outcomes to account for heterogeneity in measures of sleep quality.Sixty-seven studies involving 3427 participants met the eligibility criteria. Thirty-six studies involving 2239 participants were included in meta-analyses. Follow-up for clinical outcomes ranged between 0.3 and 52.8 weeks (median 5 weeks). Interventions included relaxation techniques, exercise, acupressure, cognitive-behavioural therapy (CBT), educational interventions, benzodiazepine treatment, dopaminergic agonists, telephone support, melatonin, reflexology, light therapy, different forms of peritoneal dialysis, music, aromatherapy, and massage. Incomplete reporting of key methodological details resulted in uncertain risk of bias in many studies.In very low certainty evidence relaxation techniques had uncertain effects on sleep quality and duration, health-related quality of life (HRQoL), depression, anxiety, and fatigue. Studies were not designed to evaluate the effects of relaxation on sleep latency or hospitalisation. Exercise had uncertain effects on sleep quality (SMD -1.10, 95% CI -2.26 to 0.05; I2 = 90%; 5 studies, 165 participants; very low certainty evidence). Exercise probably decreased depression (MD -9.05, 95% CI -13.72 to -4.39; I2 = 0%; 2 studies, 46 participants; moderate certainty evidence) and fatigue (SMD -0.68, 95% CI -1.07 to -0.29; I2 = 0%; 2 studies, 107 participants; moderate certainty evidence). Compared with no acupressure, acupressure had uncertain effects on sleep quality (Pittsburgh Sleep Quality Index (PSQI) scale 0 - 21) (MD -1.27, 95% CI -2.13 to -0.40; I2 = 89%; 6 studies, 367 participants: very low certainty evidence). Acupressure probably slightly improved sleep latency (scale 0 - 3) (MD -0.59, 95% CI -0.92 to -0.27; I2 = 0%; 3 studies, 173 participants; moderate certainty evidence) and sleep time (scale 0 - 3) (MD -0.60, 95% CI -1.12 to -0.09; I2 = 68%; 3 studies, 173 participants; moderate certainty evidence), although effects on sleep disturbance were uncertain as the evidence certainty was very low (scale 0 - 3) (MD -0.49, 95% CI -1.16 to 0.19; I2 = 97%). In moderate certainty evidence, acupressure probably decrease fatigue (MD -1.07, 95% CI -1.67 to -0.48; I2 = 0%; 2 studies, 137 participants). Acupressure had uncertain effects on depression (MD -3.65, 95% CI -7.63 to 0.33; I2 = 27%; 2 studies, 137 participants; very low certainty evidence) while studies were not designed to evaluate the effect of acupressure on HRQoL, anxiety, or hospitalisation. It was uncertain whether acupressure compared with sham acupressure improved sleep quality (PSQI scale 0 to 21) because the certainty of the evidence was very low (MD -2.25, 95% CI -6.33 to 1.82; I2 = 96%; 2 studies, 129 participants), but total sleep time may have been improved (SMD -0.34, 95% CI -0.73 to 0.04; I2 = 0%; 2 studies, 107 participants; low certainty evidence). 2 =2 =There were no studies designed to directly examine and/or correlate efficacy of any interventions aimed at improving sleep that may have been attempted for the spectrum of sleep disordered breathing. No studies reported treatment effects for children. Adverse effects of therapies were very uncertain.The evidence base for improving sleep quality and related outcomes for adults and children with CKD is sparse. Relaxation techniques and exercise had uncertain effects on sleep outcomes. Acupressure may improve sleep latency and duration, although these findings are based on few studies. The effects of acupressure were not confirmed in studies in which sham acupressure was used as the control. Given the very low certainly evidence, future research will very likely change the evidence base. Based on the importance of symptom management to patients, caregivers and clinicians, future studies of sleep interventions among people with CKD should be a priority." @default.
• W2777416473 created "2018-01-05" @default.
• W2777416473 creator A5003005836 @default.
• W2777416473 creator A5018429053 @default.
• W2777416473 creator A5035896202 @default.
• W2777416473 creator A5078001075 @default.
• W2777416473 creator A5080193257 @default.
• W2777416473 date "2019-05-26" @default.
• W2777416473 modified "2023-10-17" @default.
• W2777416473 title "Interventions for improving sleep quality in people with chronic kidney disease" @default.
• W2777416473 cites W1504248132 @default.
• W2777416473 cites W1561422799 @default.
• W2777416473 cites W1589871607 @default.
• W2777416473 cites W1698165450 @default.
• W2777416473 cites W1776589027 @default.
• W2777416473 cites W191793173 @default.
• W2777416473 cites W1948623147 @default.
• W2777416473 cites W1953516574 @default.
• W2777416473 cites W1967637427 @default.
• W2777416473 cites W1971615296 @default.
• W2777416473 cites W1971966782 @default.
• W2777416473 cites W1973390945 @default.
• W2777416473 cites W1975118721 @default.
• W2777416473 cites W1976211167 @default.
• W2777416473 cites W1978013793 @default.
• W2777416473 cites W1985197269 @default.
• W2777416473 cites W1992463789 @default.
• W2777416473 cites W1995753351 @default.
• W2777416473 cites W1995868504 @default.
• W2777416473 cites W2003201855 @default.
• W2777416473 cites W2003827829 @default.
• W2777416473 cites W2004303830 @default.
• W2777416473 cites W2004481343 @default.
• W2777416473 cites W2009313189 @default.
• W2777416473 cites W2009890892 @default.
• W2777416473 cites W2010122838 @default.
• W2777416473 cites W2015620413 @default.
• W2777416473 cites W2019217443 @default.
• W2777416473 cites W2019935860 @default.
• W2777416473 cites W2024048573 @default.
• W2777416473 cites W2024704496 @default.
• W2777416473 cites W2026059455 @default.
• W2777416473 cites W2027717614 @default.
• W2777416473 cites W2032312509 @default.
• W2777416473 cites W2032708739 @default.
• W2777416473 cites W2036647168 @default.
• W2777416473 cites W2040922414 @default.
• W2777416473 cites W2046767360 @default.
• W2777416473 cites W2056594003 @default.
• W2777416473 cites W2057023498 @default.
• W2777416473 cites W2061192069 @default.
• W2777416473 cites W2061535884 @default.
• W2777416473 cites W2062216945 @default.
• W2777416473 cites W2070749772 @default.
• W2777416473 cites W2076402962 @default.
• W2777416473 cites W2076858653 @default.
• W2777416473 cites W2089829246 @default.
• W2777416473 cites W2093518570 @default.
• W2777416473 cites W2093705635 @default.
• W2777416473 cites W2095993223 @default.
• W2777416473 cites W2097671393 @default.
• W2777416473 cites W2099431228 @default.
• W2777416473 cites W2100329484 @default.
• W2777416473 cites W2103250049 @default.
• W2777416473 cites W2104675861 @default.
• W2777416473 cites W2106118651 @default.
• W2777416473 cites W2106477024 @default.
• W2777416473 cites W2110957049 @default.
• W2777416473 cites W2117075490 @default.
• W2777416473 cites W2121487186 @default.
• W2777416473 cites W2125435699 @default.
• W2777416473 cites W2126789143 @default.
• W2777416473 cites W2126976146 @default.
• W2777416473 cites W2129537775 @default.
• W2777416473 cites W2129549521 @default.
• W2777416473 cites W2132106295 @default.
• W2777416473 cites W2135912058 @default.
• W2777416473 cites W2139385942 @default.
• W2777416473 cites W2143889950 @default.
• W2777416473 cites W2144213130 @default.
• W2777416473 cites W2145555293 @default.
• W2777416473 cites W2146021101 @default.
• W2777416473 cites W2147841130 @default.
• W2777416473 cites W2151214135 @default.
• W2777416473 cites W2151674829 @default.
• W2777416473 cites W2162450734 @default.
• W2777416473 cites W2165010366 @default.
• W2777416473 cites W2165610433 @default.
• W2777416473 cites W2165802602 @default.
• W2777416473 cites W2168447040 @default.
• W2777416473 cites W2169273655 @default.
• W2777416473 cites W2170551187 @default.
• W2777416473 cites W2175203688 @default.
• W2777416473 cites W2185843781 @default.
• W2777416473 cites W2219228816 @default.
• W2777416473 cites W2257119443 @default.
• W2777416473 cites W2273876479 @default.
• W2777416473 cites W2307290983 @default.
• W2777416473 cites W2328545882 @default.
• W2777416473 cites W2395184139 @default.

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