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Prevalence of poor sleep quality in the Ethiopian population: a systematic review and meta-analysis.Sleep & Breathing = Schlaf & Atmung Jun 2020Only a limited amount of data is available from lower-income countries regarding the prevalence of poor quality of sleep. This meta-analysis of the scientific literature... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Only a limited amount of data is available from lower-income countries regarding the prevalence of poor quality of sleep. This meta-analysis of the scientific literature was performed to estimate the pooled prevalence of poor sleep quality in the Ethiopian population.
METHODS
The study protocol followed was the Preferred Reporting of Items for Systematic Review and meta-analysis (PRISMA) statement.
RESULTS
The nine studies which met the inclusion criteria provided data based on a total of 9103 participants who were studied at various health and academic institutions. The incidences of self-reported poor sleep quality ranged from 26 to 66.2%. The pooled estimate of poor sleep quality was 53%.There was a high prevalence of reported poor quality of sleep among younger subjects and among those who were studied in community (noninstitutional) settings.
CONCLUSION
The pooled prevalence of poor sleep quality is quite high among Ethiopians.
Topics: Adult; Age Factors; Aged; Cross-Sectional Studies; Developing Countries; Ethiopia; Humans; Middle Aged; Poverty; Sleep Wake Disorders; Surveys and Questionnaires
PubMed: 31183743
DOI: 10.1007/s11325-019-01871-x -
Journal of Nephrology Oct 2019Incremental dialysis may preserve residual renal function and improve survival in comparison with full-dose dialysis; however, available evidence is limited. We... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Incremental dialysis may preserve residual renal function and improve survival in comparison with full-dose dialysis; however, available evidence is limited. We therefore compared all-cause mortality and residual kidney function (RKF) loss in incremental and full-dose dialysis and time to full-dose dialysis in incremental hemodialysis (IHD) and incremental peritoneal dialysis (IPD).
METHODS
We performed a systematic review and meta-analysis of cohort studies of adults with ESRD starting IHD and IPD. We identified in PubMed and Web of Science database all cohort studies evaluating incremental dialysis evaluating three outcomes: all-cause mortality, RKF loss, time to full dialysis. IPD was defined as < 3 daily dwells in Continuous Ambulatory Peritoneal Dialysis and < 5 sessions per week in Automated Peritoneal Dialysis, while IHD was defined as < 3 HD sessions per week.
RESULTS
22 studies (75,292 participants), 15 in HD and 7 in PD, were analyzed. Mean age at dialysis start was 62 and 57 years in IHD and IPD subjects, respectively. When compared to full dose, incremental dialysis (IHD or IPD) had an overall mortality risk of 1.14 [95% CI 0.85-1.52] with high heterogeneity among studies (I 86%, P < 0.001), and lower mean RKF loss (- 0.58 ml/min/months, 95% CI 0.16-1.01, P = 0.007). Overall, time to full-dose dialysis was 12.1 months (95% CI 9.8-14.3) with no difference between IHD and IPD (P = 0.217).
CONCLUSIONS
Incremental dialysis allows longer preservation of RKF thus deferring full-dose dialysis, by about 1 year in HD and PD, with no increase in mortality risk. Large and adequate studies are needed to confirm these findings.
Topics: Cause of Death; Cohort Studies; Humans; Kidney Failure, Chronic; Peritoneal Dialysis; Renal Dialysis
PubMed: 30604150
DOI: 10.1007/s40620-018-00577-9