Cochrane · systematic review · CD012625
Interventions for improving sleep quality in people with chronic kidney disease
Natale, P, Ruospo, M, Saglimbene, VM, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
12
No studies
9
Included studies
NR
No studies 9 · 42.9%Ungraded 0 · 0%Very low 7 · 33.3%Low 1 · 4.8%Moderate 4 · 19%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings: relaxation versus control for sleep outcomes in people with chronic kidney disease (CKD)
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Sleep quality PSQI (median Summary of findings: relaxation vs control | no estimate extracted | 4 studies · 259 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Sleep latency PSQI (median Summary of findings: relaxation vs control | no estimate extracted | NR | No studies |
Quality of life Quality of Life Index ‐ dialysis version and Medical Outcome Studies 36‐Item Short Form Health Survey (median Summary of findings: relaxation vs control | SMD 0.47 | 2 studies · 138 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Depression Center for Epidemiologic Studies Depression Scale and The Beck Depression Inventory II (median Summary of findings: relaxation vs control | SMD 0.04 | 2 studies · 108 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Anxiety Beck Anxiety Inventory and Spielberger State‐Trait Anxiety Inventory (median Summary of findings: relaxation vs control | SMD 0.11 | 2 studies · 119 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Fatigue PROMIS‐Fatigue Short Form 1.0 and Rhoten and Piper fatigue (median Summary of findings: relaxation vs control | no estimate extracted | 2 studies · 119 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Hospitalisation (median Summary of findings: relaxation vs control | no estimate extracted | NR | No studies |
Summary of findings: exercise versus control
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Sleep quality PSQI, ESS and tri‐axial accelerometer (median Summary of findings: exercise vs control | no estimate extracted | 5 studies · 165 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Sleep latency Summary of findings: exercise vs control | no estimate extracted | NR | No studies |
Quality of life Summary of findings: exercise vs control | no estimate extracted | NR | No studies |
Depression Zung Self‐Rating Depression Scale (ZUNG) (median Summary of findings: exercise vs control | no estimate extracted | 2 studies · 46 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Anxiety Beck Anxiety Inventory (BECK) (median Summary of findings: exercise vs control | no estimate extracted | NR | No studies |
Fatigue PIPER Fatigue Scale (PFS) and Visual Analogue Scale (VAS) (median Summary of findings: exercise vs control | no estimate extracted | 2 studies · 107 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Hospitalisation Summary of findings: exercise vs control | no estimate extracted | NR | No studies |
Summary of findings: acupressure versus control
Population: people with CKD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Sleep quality PSQI (median Summary of findings: acupressure vs control | no estimate extracted | 6 studies · 367 participants | Very low Downgraded: risk of bias |
Sleep latency PSQI (median Summary of findings: acupressure vs control | no estimate extracted | 3 studies · 173 participants | Moderate Downgraded: risk of bias |
Quality of life Summary of findings: acupressure vs control | no estimate extracted | NR | No studies |
Depression Beck Depression Inventory (BECK) (median Summary of findings: acupressure vs control | no estimate extracted | 2 studies · 137 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Anxiety Summary of findings: acupressure vs control | no estimate extracted | NR | No studies |
Fatigue PIPER Fatigue Scale (PSF) (median Summary of findings: acupressure vs control | no estimate extracted | 2 studies · 137 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Hospitalisation Summary of findings: acupressure vs control | no estimate extracted | NR | No studies |