Evidence map›Paper›PMID 39921837›Full record

SynthesisJournal of nephrology2025

Sleep disturbances in adults with chronic kidney disease: an umbrella review.

Ginger Chu, Lisa Matricciani, Sarah Russo, Andrea K Viecelli, Shilpanjali Jesudason, Paul Bennett, Ritin Fernandez

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Sleep Hygiene Among People With CKD.Kidney international reports · 2026
    Article
  4. Article
  5. Article
  6. A Systematic Review of Sleep Hygiene Strategy in CKD.Kidney international reports · 2025
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ginger ChuSchool of Nursing and Midwifery, University of Newcastle, University Drive, Callaghan, NSW, 2305, Australia. g.chu@newcastle.edu.au.ORCID http://orcid.org/0000-0001-7096-0144
Lisa MatriccianiClinical and Health Sciences, University of South Australia, Adelaide, Australia.
Sarah RussoNephrology Department, John Hunter Hospital, New Lambton Heights, NSW, Australia.
Andrea K ViecelliAustralasian Kidney Trials Network, University of Queensland, Brisbane, Australia.
Shilpanjali JesudasonCentral Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Adelaide, Australia.
Paul BennettSchool of Nursing and Midwifery, Griffith University, Nathan, QLD, Australia.
Ritin FernandezSchool of Nursing and Midwifery, University of Newcastle, University Drive, Callaghan, NSW, 2305, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis umbrella review aimed to synthesise the existing evidence on sleep disturbances and sleep disorders in the adult chronic kidney disease (CKD) population.

methodsA systematic search across five electronic databases. Reviews were grouped according to aspects of sleep and the focus of the review. The JBI critical appraisal checklist was used for quality assessment, and Preferred Reporting Items for Overviews of Reviews (PRIOR) guideline was used for reporting. The protocol was registered in the international registry PROSPERO (CRD42024527039).

resultsWe identified 50 reviews covering three main aspects of sleep (sleep apnoea, restless legs syndrome and other sleep disturbances) across five focus areas (prevalence, interventions, health outcomes, determinants of sleep and patient experience). Most reviews reported on sleep disturbances (72%, 36 reviews) and focused on interventions (58%, 29 reviews). In contrast, evidence on sleep determinants and patient experience was limited. A high prevalence of sleep apnoea (49%), restless legs syndrome (27.2%) and other sleep disturbances (55%) was reported. Non-pharmacological interventions, including aromatherapy, dialysis, muscle relaxation, yoga, music, and nurse-led management, were found to improve sleep. However, this evidence was based on a single meta-analysis with few primary studies.

conclusionsDespite the growing number of reviews on interventions to improve sleep, the evidence for their effectiveness is limited by the small number of primary studies and the high degree of overlap between reviews. Further research is needed to identify effective interventions. Additionally, qualitative studies exploring patients' perspectives on sleep are essential, as evidence in this area remains scarce.

Indexed as

Renal Insufficiency, ChronicSleepSleep Wake DisordersAdultHumansPrevalenceRestless Legs SyndromeChronic kidney diseaseReviewsSleepSleep disturbances

Identifiers

PMID39921837
PMCPMC11961545

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.