Prevalence of chronic kidney disease-associated pruritus, and association with sleep quality among hemodialysis patients in Pakistan

The prevalence of chronic kidney disease-associated pruritus (CKD-aP) varies from 22% to 84% among patients receiving hemodialysis. It occurs more frequently at night, and often affects patient's sleep quality. CKD-aP is often unreported by patients, and many do not receive effective treatment....

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Bibliographic Details
Published in:PloS one 2018-11, Vol.13 (11), p.e0207758-e0207758
Main Authors: Rehman, Inayat Ur, Munib, Syed, Ramadas, Amutha, Khan, Tahir Mehmood
Format: Article
Language:English
Subjects:
Adult
Analysis
Biology and Life Sciences
Chronic kidney failure
Diabetes
Dialysis
Female
Health aspects
Health sciences
Hemodialysis
Hospitals
Humans
Itching
Kidney diseases
Kidneys
Male
Medical research
Medicine and Health Sciences
Middle Aged
Mortality
Nephrology
Pakistan - epidemiology
Patients
Pharmacy
Prevalence
Pruritus
Pruritus - complications
Pruritus - epidemiology
Pruritus - physiopathology
Quality of life
Regression analysis
Renal Dialysis
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - therapy
Sleep
Sleep disorders
Social Sciences
Studies
Systematic review
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Summary:The prevalence of chronic kidney disease-associated pruritus (CKD-aP) varies from 22% to 84% among patients receiving hemodialysis. It occurs more frequently at night, and often affects patient's sleep quality. CKD-aP is often unreported by patients, and many do not receive effective treatment. There is, however, a paucity of available data on the prevalence and impact of CKD-aP on patients receiving hemodialysis in Pakistan. A multicenter cross-sectional study was undertaken from July 2016 to April 2017 at a tertiary care hospitals in Pakistan. 354 patients undergoing hemodialysis were studied. 35.6% had CKD for 1-2 years, and 42.4% were receiving hemodialysis for 1-2 years. The prevalence of pruritus was 74%. The median [interquartile range] score for pruritus was 10.0 (out of possible 25) [8.0-12.0]; while the median [interquartile range] Pittsburgh Sleep Quality Index (PSQI) score was 8.0 (out of possible 21) [7.0-10.0]'. Pruritus was significantly correlated with the sleep score (r = 0.423, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0207758