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Patient Perspectives on the Meaning and Impact of Fatigue in Hemodialysis: A Systematic Review and Thematic Analysis of Qualitative Studies
Journal
American Journal of Kidney Diseases
ISSN
0272-6386
Date Issued
2019
Author(s)
Jacobson, Jack
Ju, Angela
Baumgart, Amanda
Unruh, Mark
O’Donoghue, Donal
Craig, Jonathan C.
Dapueto, Juan M.
Dew, Mary Amanda
Germain, Michael
Fluck, Richard
Davison, Sara N.
Jassal, Sarbjit Vanita
Manera, Karine
Smith, Alice C.
Tong, Allison
Type
Resource Types::text::journal::journal article
Abstract
Rationale & objective: Fatigue is a highly prevalent and debilitating symptom in patients on hemodialysis therapy due to the uremic milieu, the hemodialysis treatment itself, and other comorbid conditions. However, fatigue remains underrecognized and the consequences are underappreciated because it may not be visible in clinical settings. This study aims to describe the experience that patients undergoing maintenance hemodialysis have with fatigue. Study design: Systematic review and thematic synthesis of qualitative studies. Setting & study populations: Patients undergoing hemodialysis. Search strategy & sources: MEDLINE, Embase, PsycINFO, CINAHL, reference lists, and PhD dissertations were searched from inception to October 2018. Data extraction: All text from the results/conclusion of the primary studies. Analytical approach: Thematic synthesis. Copyright © 2019 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.