Dermatological manifestations in hemodialysis patients in Iran: A systematic review and meta-analysis.
J Cosmet Dermatol
; 18(1): 204-211, 2019 Feb.
Article
in En
| MEDLINE
| ID: mdl-29577562
ABSTRACT
BACKGROUND:
Dermatologic complications are common in patients with end-stage renal disease and also have a high diversity.OBJECTIVES:
This meta-analysis reviews prevalence of dermatological manifestations among hemodialysis patients in Iran. MATERIALS ANDMETHODS:
Using PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information (ISI), and SCOPUS as the main international electronic data sources, and Iran-Medex, Irandoc, and Scientific Information Database, as the main domestic databases with systematic search capability, we systematically searched surveys, papers, and reports on the prevalence of dermatological manifestations (until February 2016). Heterogeneity of reported prevalence's between studies was assessed using the Q test; overall prevalence of dermatological manifestations was estimated using random-effect meta-analysis model.RESULTS:
We found 1229 records; from them, a total of eight studies comprising 917 hemodialysis patients were included. In all of studies, skin discoloration, pruritus and xerosis have the highest prevalence. According to random-effect meta-analysis model, the pooled prevalence of skin discoloration, pruritus, ecchymosis, xerosis, and half-and-half nail in hemodialysis patients were 48.03% (95% CI 45.09-51.01), 52.85% (95%CI 49.23-56.47), 19.88 (95% CI 17.57-22.19), 51.14% (95% CI 48.25-54.02), and 18.50% (95% CI 16.0-21.0), respectively.CONCLUSIONS:
his study shows that the prevalence of dermatological manifestations seems high among the hemodialysis patients in Iran, and skin discoloration, pruritus, and xerosis are more common.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Skin Diseases
/
Renal Dialysis
/
Kidney Failure, Chronic
Type of study:
Prevalence_studies
/
Risk_factors_studies
/
Systematic_reviews
Limits:
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
J Cosmet Dermatol
Journal subject:
DERMATOLOGIA
Year:
2019
Document type:
Article
Affiliation country: