The prevalence and treatment of depression among patients starting dialysis

Watnick, Suzanne; Kirwin, Paul D.; Mahnensmith, Rex L.; Concato, John

doi:10.1053/ajkd.2003.50029

Cited by 282 publications

(269 citation statements)

References 28 publications

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“…The reasons why the patients evaluated in this study presented to be sedentary, or were already sedentary before HD, are unknown; however, these numbers draw attention. Given the relative prevalence of depressive symptoms in the sample evaluated, it is believed that, like Watnick et al 36 , the possible reasons for depression at the start of the dialysis were changes in lifestyle and the losses caused by dialysis, such as the social role, independence and bodily functions. However, since the reasons were not investigated, it is suggested that further studies addressing these aspects are carried out.…”

Section: Discussionmentioning

confidence: 91%

Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Cavalcanti

Filho²,

Marinho

2014

Fisioter. Pesqui.

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This study aimed to evaluate the association between the presence of depressive symptoms and physical activity level (PAL) in patients with chronic kidney disease undergoing hemodialysis (HD). Cross-sectional study comprising 101 patients on HD, mean age 47.4±12.5 years. Sociodemographic data, economic, clinical, assessment of depressive symptoms (Beck Depression Scale - BDI), PAL (International Physical Activity Questionnaire - IPAQ), guidance for performing physical activity (PA) and time of HD. The prevalence of sedentary and depressive symptoms was 79.2% and 39.6%, respectively. Depressive symptoms were observed in 47.5% of sedentary patients (χ2=10.029, p=0.002), the ratio of prevalence of these symptoms five times higher in this group. 68.3% of patients on HD received no guidance for PA. Under 49 months of hemodialysis treatment, 63.8% of sedentary (χ2=3.011, p=0.083) and 57.5% of patients with depressive symptoms (χ2=0.100, p=0.752) already had these features. Although little is known about the relationship between depression and PA among patients undergoing HD, this study found that depressive symptoms were more prevalent among inactive. The results of this study demonstrate that patients undergoing HD have low PAL, relative presence of depressive symptoms and high lack of guidance on PA.

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Section: Discussionmentioning

confidence: 91%

Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Cavalcanti

Filho²,

Marinho

2014

Fisioter. Pesqui.

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“…Reports have indicated that mental health-related disorders are common in patients with chronic kidney disease (3) but are substantially undertreated (13) and lead to increased risk of death (4). Due to recommendations for screening for mental health-related disorders before transplant, it might be expected that psychosis would be significantly less common after renal transplantation than among dialysis patients.…”

Section: Discussionmentioning

confidence: 99%

Hospitalized Psychoses after Renal Transplantation in the United States

Abbott¹,

Agodoa

O’Malley

2003

Journal of the American Society of Nephrology

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ABSTRACT. Although it is recommended that renal transplant (RT) candidates routinely undergo screening for mental health–related conditions, national statistics for psychoses after RT have not been reported. This is a historical cohort study of 39,628 renal transplant recipients in the United States Renal Data System between July 1, 1994, and June 30, 1998, and followed until December 31, 1999. Adjusted hazard ratios (AHR) for time to hospitalization for both a primary and secondary discharge diagnosis of psychoses (ICD-9 codes 290.x-299.x) after RT and mortality/graft loss after psychosis were assessed by Cox Regression. In addition, rates of psychosis were compared with 178,986 patients with Medicare as their primary payer who started chronic dialysis from April 1, 1995, to June 29, 1999. The incidence of psychoses was 7.5/1000 person-years (PY) after RT compared with 7.2/1000 PY for all patients on chronic dialysis and 9.6/1000 PY for dialysis patients aged 65 yr or younger. Among RT recipients, graft loss (AHR, 2.97; 95% CI, 2.19 to 4.02), allograft rejection, and cadaveric donation were independently associated with psychosis, which was associated with an increased risk of both death (AHR, 2.09; 95% CI, 1.71 to 2.56; P < 0.001) and graft loss (AHR, 1.79; 95% CI, 1.15 to 2.78; P = 0.01). Graft loss due to noncompliance was significantly more common after psychosis (9.0% versus 3.7% in patients not hospitalized for psychosis; P < 0.001). The incidence of hospitalized psychosis was not substantially higher after RT compared with chronic dialysis patients. Psychoses were independently associated with increased risk of death and graft loss after renal transplantation, possibly mediated through medical non-adherence. E-mail: kevin.abbott@na.amedd.army.mil

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“…These data indicate the importance of effective transitioning of patients between CKD and ESRD care and have provided impetus for the "Fistula First" initiative of the Center for Medicare and Medicaid Services (CMS) (11). When a patient begins RRT, or transitions from one modality of care to another, there is a dramatic decline in quality-of-life measures (12,13). Furthermore, of patients who were on dialysis for Ͼ1 yr, only 24% returned to work after transplantation, compared with at least one half of those who received a transplant preemptively (14).…”

Section: Advantages Of Preemptive Transplantation: Smoothing Peaks Anmentioning

confidence: 99%

Kidney Transplantation as Primary Therapy for End-Stage Renal Disease

Abecassis

Bartlett

Collins

et al. 2008

Clinical Journal of the American Society of Nephrology

516

338

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Results: Participants explored the benefits of early transplantation on costs and outcomes, identified current barriers (at multiple levels) that impede access to early transplantation, and recommended specific interventions to overcome those barriers.Conclusions: With implementation of early education, referral to a transplant center coincident with creation of vascular access, timely transplant evaluation, and identification of potential living donors, early transplantation can be an option for substantially more patients with chronic kidney disease.

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The prevalence and treatment of depression among patients starting dialysis

Cited by 282 publications

References 28 publications

Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Hospitalized Psychoses after Renal Transplantation in the United States

Kidney Transplantation as Primary Therapy for End-Stage Renal Disease

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