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Dermatological manifestations in hemodialysis patients in Iran: A systematic review and meta-analysis.
J Cosmet Dermatol 2019; 18(1):204-211JC

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 AND METHODS

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.

Authors+Show Affiliations

Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran.Iranian Non-communicable Diseases Committee, Ministry of Health and Medical Education, Tehran, Iran.Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran.Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.Department of Anesthesiology, Qom University of Medical Sciences, Qom, Iran.Development of Research and Technology Center, Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran.Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. Chronic Disease Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.Department of Basic and Clinical Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

Pub Type(s)

Journal Article
Meta-Analysis
Systematic Review

Language

eng

PubMed ID

29577562

Citation

Asayesh, Hamid, et al. "Dermatological Manifestations in Hemodialysis Patients in Iran: a Systematic Review and Meta-analysis." Journal of Cosmetic Dermatology, vol. 18, no. 1, 2019, pp. 204-211.
Asayesh H, Peykari N, Pavaresh-Masoud M, et al. Dermatological manifestations in hemodialysis patients in Iran: A systematic review and meta-analysis. J Cosmet Dermatol. 2019;18(1):204-211.
Asayesh, H., Peykari, N., Pavaresh-Masoud, M., Esmaeili Abdar, M., Tajbakhsh, R., Mousavi, S. M., ... Mahdavi-Gorabi, A. (2019). Dermatological manifestations in hemodialysis patients in Iran: A systematic review and meta-analysis. Journal of Cosmetic Dermatology, 18(1), pp. 204-211. doi:10.1111/jocd.12531.
Asayesh H, et al. Dermatological Manifestations in Hemodialysis Patients in Iran: a Systematic Review and Meta-analysis. J Cosmet Dermatol. 2019;18(1):204-211. PubMed PMID: 29577562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dermatological manifestations in hemodialysis patients in Iran: A systematic review and meta-analysis. AU - Asayesh,Hamid, AU - Peykari,Niloofar, AU - Pavaresh-Masoud,Mohammad, AU - Esmaeili Abdar,Mohammad, AU - Tajbakhsh,Ramin, AU - Mousavi,Seyed Mojtaba, AU - Djalalinia,Shirin, AU - Noroozi,Mehdi, AU - Qorbani,Mostafa, AU - Mahdavi-Gorabi,Armita, Y1 - 2018/03/25/ PY - 2018/02/10/accepted PY - 2018/3/27/pubmed PY - 2019/6/14/medline PY - 2018/3/27/entrez KW - cutaneous pigmentation KW - end-stage renal disease KW - pallor KW - pruritus KW - xerosis SP - 204 EP - 211 JF - Journal of cosmetic dermatology JO - J Cosmet Dermatol VL - 18 IS - 1 N2 - 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 AND METHODS: 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. SN - 1473-2165 UR - https://www.unboundmedicine.com/medline/citation/29577562/Dermatological_manifestations_in_hemodialysis_patients_in_Iran:_A_systematic_review_and_meta_analysis_ L2 - https://doi.org/10.1111/jocd.12531 DB - PRIME DP - Unbound Medicine ER -