Sleep-related breathing disorders impair quality of life in haemodialysis recipients

Sanner, Bernd; Tepel, Martín; Esser, Martina; Klewer, Jörg; Hoehmann‐Riese, Beate; Zidek, Walter; Hellmich, Bernhard

doi:10.1093/ndt/17.7.1260

Cited by 53 publications

(39 citation statements)

References 15 publications

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“…In-depth Review Fleck et al [53] , 2007 Discussion Carver et al [57] , 1995 Review Blinkhorn [61] , 2012 Review O'Connor et al [64] , 2012 Review Catania et al [65] , 2013 Report Quantitative Study design Questionnaire used Mapes et al [8] Longitudinal KDQOLSF-36 Kao et al [13] , 2009 Cross sectional SF-36 Abraham et al [14] , 2008 Case control, follow up WHOQOL-BREF Kimmel et al [15] , 2008 Prospective Satisfaction with Life Scale (SLS), McGill QOL, Single item Patel et al [16] , 2002 Prospective McGill QOL, Beck Depression Griva et al [17] , 2009 Cross sectional SF-36 Elder et al [19] , 2008 Cross sectional, case mix KDQOLSF-36 Sanner et al [20] , 2002 Cross sectional SF-36, Nottingham Health Profile Tondra [22] , 2014 Conceptual Framework, CS Quality of Life Index Dialysis, Mingardi et al [23] , 1999 Prospective SF-36 Seica et al [24] , 2009 Cross sectional SF-36, KDQOLSF-36 Bakewell et al [25] , 2002 Longitudinal /intervention KDQOLSF-36 Theofilou [26] , 2012 Cross sectional/ Observational WHOQOL-BREF, GHQ-28 Kim et al [28] , 2013 Cross sectional KDQOLSF-36 White et al [29] , 2002 Retrospective cohort SF-36 Painter et al [32] , 2000 Experimental/Intervention SF-36 Ouzouni et al [33] , 2009 RCT SF-36, Quality of Life Index Agakhani et al [34] , 2012 Case control/comparative SF-36 Hegazy et al [35] , 2013…”

Section: Resultsmentioning

confidence: 99%

“…[22,25] , influence of dialysis care practice [27] , self-efficacy, treatment satisfaction [28] , pre-dialysis clinic attendance [29] , exercise [30] . Intervention such as dietary counseling [34,35] , individual/group counselling [14,36,37,40] , education on regular exercise [31][32][33] , physical and psychological rehabilitation interventions, palliative care to manage symptoms [38] , and cognitive behavior therapy to reduce depression [39] Inverse association of factors with QOL More worries and higher depression [13] , ignorance about the basic facts of one's disease [14] , Pain, financial constraints [14] , psychological and spiritual factors [15] , emotional impact, physical impact on daily living, role of religious and spiritual beliefs [16] , beliefs related to illness and treatment [17] , anxiety, depression, suicidal ideation, grief of loss of kidney, self-image selfesteem [18] , sleep quality [19] , sleep related breathing disorders [20] , as well as erectile dysfunction, patient satisfaction with care, depressive aspects, symptom burden, and perception of intrusiveness of illness [21] , female gender [22][23][24]26] , ethnicity [25] , older age [26] , less education [24,26] , poor nutritional status [25] and divorced marital status, Illness and treatment beliefs [17] , work and Symptom domain [25] No or very weak association of fa...…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative research conducted on ESRD patients has reported some of the themes (subjective measures) for QOL. These themes were physiological impact, impact of treatment, impact on daily life, psychological impact, impact on relationships, social impact and coping responses [20] . Another study came up with three themes and sub themes as: (1) "life restricted" with sub-themes "being tied down", "feeling left out", and "doing without"; (2) "staying alive" with sub-themes "love from others", "accept illness as part of life", and "trust in God"; and (3) "feeling good" with sub-themes "personal satisfaction" and "being happy" [41] .…”

Section: Qualitative Researchmentioning

confidence: 99%

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Quality of life in end stage renal disease patients

Joshi¹

2014

WJN

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AIM:To understand factors associated with quality of life (QOL), examine types of QOL instruments, and determine need for further improvements in QOL assessment. METHODS:The method used databases (Pubmed, Google scholar) and a bibliographic search using key words QOL, end stage renal disease, Hemodialysis, Peritoneal dialysis, instruments to measure QOL, patients and qualitative/quantitative analysis published during 1990 to June 2014. Each article was assessed for sample size, demographics of participants, study design and type of QOL instruments used. We used WHO definition of QOL. RESULTS:For this review, 109 articles were screened, out of which 65 articles were selected. Out of 65 articles, there were 19 reports/reviews and 12 questionnaire manuals. Of the 34 studies, 82% were quantitative while only 18% were qualitative. QOL instruments measured several phenomenon such as physical/psychological health, effects and burdens of kidney disease, social support etc. those are associated with QOL. Few studies looked at spiritual beliefs, cultural beliefs, personal concerns, as per the WHO definition. Telemedicine and Palliative care have now been successfully used however QOL instruments seldom addressed those in the articles reviewed. Also noticed was that longitudinal studies were rarely conducted. Existing QOL instruments only partially measure QOL. This may limit validity of predictive power of QOL. CONCLUSION:Culture and disease specific QOL instruments that assess patients' objective and subjective experiences covering most aspects of QOL are urgently needed.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Qualitative Researchmentioning

confidence: 99%

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Quality of life in end stage renal disease patients

Joshi¹

2014

WJN

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“…25, 79, 93 Sleep apnea has been associated with lower HRQOL in patients on HD, and those without sleep apnea experience significantly better vitality, social functioning and emotional and mental health. 94 Other symptoms, such as restless legs, which are common in dialysis patients and affect sleep quality, may also impact vitality. In a study of 894 dialysis patients, symptoms of restless legs were significantly associated with lower physical and mental well-being, lower vitality, higher bodily pain, and lower sleep quality.…”

Section: Sleep and Fatiguementioning

confidence: 99%

Fatigue in Patients Receiving Maintenance Dialysis: A Review of Definitions, Measures, and Contributing Factors

Jhamb

Weisbord

Steel

et al. 2008

American Journal of Kidney Diseases

266

289

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Fatigue is a debilitating symptom or side effect experienced by many patients on long-term dialysis. Fatigue has a considerable effect on patients' health-related quality of life and is viewed as being more important than survival by some patients. There are many challenges renal providers face when attempting to reduce fatigue in dialysis patients. The lack of a reliable, valid, and sensitive fatigue scale complicates the accurate identification of this symptom. Symptoms of daytime sleepiness and depression overlap with fatigue, making it difficult to target specific therapies. Moreover, many chronic health conditions common in the long-term dialysis population may lead to the development of fatigue and contribute to the day-to-day and diurnal variation of fatigue in patients. Key to improving the assessment and treatment of fatigue is improving our understanding of potential mediators, as well as potential therapies. Cytokines have emerged as an important mediator of fatigue and have been studied extensively in cancer related fatigue. In addition, although erythropoietin stimulating agents (ESA) have been shown to mitigate fatigue, the recent controversy regarding ESA dosing in chronic kidney disease (CKD) suggests that ESA therapy may not serve as the sole therapy to improve fatigue in this population. In conclusion, fatigue is an important and often underrecognized symptom in the dialysis population. Possible interventions for minimizing fatigue in patients on long-term dialysis should be aimed at improving health care provider awareness, developing improved methods of measurement, better understanding of the pathogenesis, as well as management of known contributing factors.

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“…We previously reported a fourfold greater prevalence of sleep apnea in older conventional HD patients compared with a control sample (20). Furthermore, current clinical SDB practice for CKD and HD patients is largely informed by data obtained from small studies (21)(22)(23), limited channel sleep monitors (18,23,24), or studies primarily comprised of symptomatic patients (5,22,25). The aim of this report is to describe and compare the prevalence and various patterns of SDB and the prevalence of excessive daytime sleepiness (EDS) among patients with advanced CKD, HD patients, and a control group without known CKD.…”

Section: Introductionmentioning

confidence: 99%

Sleep-Disordered Breathing and Excessive Daytime Sleepiness in Chronic Kidney Disease and Hemodialysis

Roumelioti¹,

Buysse²,

Sanders³

et al. 2011

Clinical Journal of the American Society of Nephrology

103

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SummaryBackground and objectives Sleep-disordered breathing (SDB) and excessive daytime sleepiness (EDS) are highly prevalent among hemodialysis (HD) patients. It is unclear to what extent SDB is associated with advanced chronic kidney disease (CKD; stages 4 to 5). This paper describes and compares the prevalence, severity, and patterns of SDB and EDS among patients with advanced CKD, HD-dependent patients, and community individuals without known renal disease.Design, setting, participants, & measurements Eighty-nine CKD and 75 HD patients were compared with 224 participants from the Sleep-Strategies Concentrating on Risk Evaluation Sleep-SCORE study of sleep and cardiovascular risk. Participants had in-home unattended polysomnography for quantifying SDB. EDS was defined by a score Ն10 on the Epworth Sleepiness Scale.Results The sample had a median age 58.1 years, was predominantly male (57.4%) and white (62.5%), and had a median body mass index of 28.1 kg/m 2 . Controls and Sleep-SCORE Study CKD patients had significantly higher median total sleep time and sleep efficiency compared with HD patients. The adjusted odds of severe SDB were higher for CKD and HD groups compared with the controls. Nocturnal hypoxemia was significantly elevated in the HD group compared with the CKD group. There were similar proportions of participants with EDS between the controls (33%), the CKD patients (29.3%), and the HD patients (40.6%). ConclusionsSevere SDB (predominantly obstructive) and EDS are common among advanced CKD and HD patients. EDS correlated modestly with severe SDB and its obstructive and mixed patterns in the HD group.

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Sleep-related breathing disorders impair quality of life in haemodialysis recipients

Abstract: We conclude that sleep-related breathing disorders independently influence the quality of life of patients receiving maintenance dialysis.

Cited by 53 publications

References 15 publications

Quality of life in end stage renal disease patients

Quality of life in end stage renal disease patients

Fatigue in Patients Receiving Maintenance Dialysis: A Review of Definitions, Measures, and Contributing Factors

Sleep-Disordered Breathing and Excessive Daytime Sleepiness in Chronic Kidney Disease and Hemodialysis

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