Adequacy of dialysis in Iranian patients undergoing hemodialysis : a systematic review and meta-analysis
Dehvan, Fazel and Monjazebi, Fateme and Khanghahi, Masoumeh Erfani and Mohammadi, Hiwa and Gheshlagh, Reza and Kurdi, Amanj (2018) Adequacy of dialysis in Iranian patients undergoing hemodialysis : a systematic review and meta-analysis. Nephro-Urology Monthly, 10 (5). e82235. ISSN 2251-7014 (https://doi.org/10.5812/numonthly.82235)
Preview |
Text.
Filename: Dehvan_etal_NUM_2018_Adequacy_of_dialysis_in_Iranian_patients_undergoing_hemodialysis.pdf
Final Published Version License: Download (3MB)| Preview |
Abstract
Context: Preforming an adequate and effective dialysis is essential to improve patients’ quality of life and decrease the complications of kidney failure. However, evidence around the effectiveness of dialysis among Iranian hemodialysis patients is inconclusive. The present study, therefore, was conducted to evaluate the effectiveness of dialysis patients in Iranian hemodialysis patients using a systematic approach. Evidence Acquisition: In this meta-analysis, the search was performed using the keywords “Adequacy of Dialysis”, and “Hemodialysis Adequacy” in SID, MagIran, ISI/Web of Science, PubMed, and Scopus databases without from inception to July 2018. Considering the heterogeneity of the studies, the data were analyzed using the random effects model and STATA version 14. Results: The mean urea kinetic modeling (Kt/V) and urea reduction ratio (URR) in Iranian patients undergoing hemodialysis were 1.11% (95% CI: 1.03-1.81) and 59.94% (95% CI: 58.33-61.54), respectively. There was no correlation between indices of dialysis adequacy, sample size, mean age of samples and year of publication of articles. However, Kt/V and URR in articles with high methodological quality were higher than those with moderate methodological quality. Conclusion: The mean of adequacy of dialysis indices among Iranian patients is below the standard levels and it is necessary to consider measures to improve dialysis effectiveness.
ORCID iDs
Dehvan, Fazel, Monjazebi, Fateme, Khanghahi, Masoumeh Erfani, Mohammadi, Hiwa, Gheshlagh, Reza and Kurdi, Amanj ORCID: https://orcid.org/0000-0001-5036-1988;-
-
Item type: Article ID code: 65603 Dates: DateEvent17 September 2018Published6 September 2018AcceptedSubjects: Medicine > Internal medicine Department: Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
Strategic Research Themes > Health and WellbeingDepositing user: Pure Administrator Date deposited: 02 Oct 2018 10:02 Last modified: 27 Sep 2024 01:09 URI: https://strathprints.strath.ac.uk/id/eprint/65603