Cochrane · systematic review · CD013074

Interventions for fatigue in people with kidney failure requiring dialysis

Natale, P, Ju, A, Strippoli, GFM, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
24
current version
GRADE rated
5
No studies
19
Included studies
NR
No studies 19 · 79.2%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 20.8%Moderate 0 · 0%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

Exercise versus control for people receiving dialysis

Population: people receiving dialysis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue (IFS, MFI, PIPER, or HD‐related fatigue scale) median
Exercise vs control
no estimate extracted4 studies · 217 participantsLow
Downgraded: risk of bias
Weakness
Exercise vs control
no estimate extractedNRNo studies
Energy
Exercise vs control
no estimate extractedNRNo studies
Tiredness
Exercise vs control
no estimate extractedNRNo studies
Exhaustion
Exercise vs control
no estimate extractedNRNo studies
Asthenia
Exercise vs control
no estimate extractedNRNo studies

Aromatherapy versus placebo or standard care for people receiving dialysis

Population: people receiving dialysis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue (PIPER, BFI, FSS, RFS) median
Aromatherapy vs placebo or standard care
no estimate extracted7 studies · 542 participantsLow
Downgraded: risk of bias
Weakness
Aromatherapy vs placebo or standard care
no estimate extractedNRNo studies
Energy
Aromatherapy vs placebo or standard care
no estimate extractedNRNo studies
Tiredness
Aromatherapy vs placebo or standard care
no estimate extractedNRNo studies
Exhaustion
Aromatherapy vs placebo or standard care
no estimate extractedNRNo studies
Asthenia
Aromatherapy vs placebo or standard care
no estimate extractedNRNo studies

Massage versus no intervention for people receiving dialysis

Population: people receiving dialysis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue (PFS, FSS, VAS) median
Massage vs no intervention
no estimate extracted7 studies · 657 participantsLow
Downgraded: risk of bias
Weakness
Massage vs no intervention
no estimate extractedNRNo studies
Energy (VAS) median
Massage vs no intervention
no estimate extracted2 studies · 152 participantsLow
Downgraded: risk of bias
Tiredness
Massage vs no intervention
no estimate extractedNRNo studies
Exhaustion
Massage vs no intervention
no estimate extractedNRNo studies
Asthenia
Massage vs no intervention
no estimate extractedNRNo studies

Acupressure versus placebo or control for people receiving dialysis

Population: people receiving dialysis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Fatigue [PFS, revised PFS, FI] median
Acupressure vs placebo or control
no estimate extracted6 studies · 459 participantsLow
Downgraded: risk of bias
Weakness
Acupressure vs placebo or control
no estimate extractedNRNo studies
Energy
Acupressure vs placebo or control
no estimate extractedNRNo studies
Tiredness
Acupressure vs placebo or control
no estimate extractedNRNo studies
Exhaustion
Acupressure vs placebo or control
no estimate extractedNRNo studies
Asthenia
Acupressure vs placebo or control
no estimate extractedNRNo studies