Cochrane · systematic review · CD013327
Upper limb exercise for arteriovenous fistula maturation in people requiring permanent haemodialysis access
Nantakool, S, Reanpang, T, Prasannarong, M, et al. · Cochrane Database of Systematic Reviews · 2022 · 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
13
current version
GRADE rated
9
No studies
4
Included studies
NR
No studies 4 · 30.8%Ungraded 0 · 0%Very low 3 · 23.1%Low 6 · 46.2%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
Upper limb exercise training versus control (no intervention/usual care/isotonic exercise) for arteriovenous fistula maturation
Population: CKD patients who underwent AVF creation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Time to mature Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | NR | No studies |
Ultrasound maturation (isotonic exercise training versus no intervention) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | RR 1.09 [0.94, 1.25] | 2 studies · 263 participants | Low Downgraded: risk of bias, imprecision |
Ultrasound maturation (isometric versus isotonic exercise training) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | RR 1.56 [1.21, 2] | 3 studies · 160 participants | Low Downgraded: risk of bias, imprecision |
Clinical maturation (isotonic exercise training versus no intervention) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | RR 1.14 [1.02, 1.27] | 2 studies · 263 participants | Low Downgraded: risk of bias, imprecision |
Clinical maturation (isometric versus isotonic exercise training) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | RR 1.8 [1.18, 2.76] | 3 studies · 160 participants | Low Downgraded: risk of bias, imprecision |
Venous diameter (isometric versus isotonic exercise training) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | 3 studies · 160 participants | Low Downgraded: risk of bias, imprecision |
Venous diameter (high volume versus low volume isotonic exercise training) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | 2 studies · 93 participants | Very low Downgraded: risk of bias, imprecision |
Blood flow in the inflow artery (isometric versus isotonic exercise training) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | 3 studies · 160 participants | Low Downgraded: risk of bias, imprecision |
Blood flow in the inflow artery (high volume versus low volume isotonic exercise training) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | 1 study · 15 participants | Very low Downgraded: risk of bias, imprecision |
Dialysis efficacy indicator Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | NR | No studies |
Vascular access function Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | NR | No studies |
Vascular access complications (isometric versus isotonic exercise training) Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | RR 2.54 [0.38, 17.08] | 2 studies · 110 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events Upper limb exercise training vs control (no intervention/usual care/isotonic exercise) | no estimate extracted | NR | No studies |