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The challenge of insomnia for patients on haemodialysis

Nature Reviews Nephrology volume 17, pages 147–148 (2021)Cite this article

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Insomnia is common among patients on maintenance haemodialysis and may be exacerbated by the challenges of the COVID pandemic. However, data on the efficacy of insomnia interventions in this population are limited. Efforts are needed to address this important problem and increase access to insomnia interventions for patients on haemodialysis.

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References

  1. Roumelioti, M. E. Argyropoulos, C. P. & Unruh, M. L. in Psychosocial Aspects of Chronic Kidney Disease (eds Cukor, D., Cohen, S. & Kimmel, P.) 183–212 (Academic Press, 2020).

  2. Anand, S. et al. Physical activity and self-reported symptoms of insomnia, restless legs syndrome, and depression: the comprehensive dialysis study. Hemo. Int. 17, 50–58 (2013).

    Article  Google Scholar 

  3. Morin, C. M. et al. Insomnia disorder. Nat. Rev. Dis. Primers 1, 1–18 (2015).

    Article  Google Scholar 

  4. Flythe, J. E. et al. Symptom prioritization among adults receiving in-center hemodialysis: a mixed methods study. CJASN 13, 735–745 (2018).

    Article  Google Scholar 

  5. Perl, J., Unruh, M. L. & Chan, C. T. Sleep disorders in end-stage renal disease: ‘markers of inadequate dialysis?’. Kid. Int. 70, 1687–1693 (2006).

    Article  CAS  Google Scholar 

  6. Maung, S. et al. Sleep disturbance and depressive affect in patients treated with haemodialysis. J. Ren. Care 43, 60–66 (2017).

    Article  Google Scholar 

  7. Lee, J. et al. Psychosocial impact of COVID-19 pandemic on patients with end-stage kidney disease on hemodialysis. Kidney360 1, 1390–1397 (2020).

    Article  Google Scholar 

  8. Brasure, M. et al. Psychological and behavioral interventions for managing insomnia disorder: an evidence report for a clinical practice guideline by the American College of Physicians. Ann. Intern. Med. 165, 113–124 (2016).

    Article  Google Scholar 

  9. Winkelmayer, W. C., Mehta, J. & Wang, P. S. Benzodiazepine use and mortality of incident dialysis patients in the United States. Kid. Int. 72, 1388–1393 (2007).

    Article  CAS  Google Scholar 

  10. Unruh, M. et al. Sleep-HD trial: short and long-term effectiveness of existing insomnia therapies for patients undergoing hemodialysis. BMC Nephrol. 21, 1–12 (2020).

    Article  Google Scholar 

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Authors and Affiliations

  1. The Rogosin Institute, New York, NY, USA

    Daniel Cukor

  2. Division of Nephrology, Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA

    Mark Unruh

  3. Nephrology Section, New Mexico Veterans Hospital, Albuquerque, NM, USA

    Mark Unruh

  4. Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, USA

    Susan M. McCurry

  5. Kidney Research Institute, Division of Nephrology, University of Washington, Seattle, WA, USA

    Rajnish Mehrotra

Authors
  1. Daniel Cukor
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  2. Mark Unruh
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  3. Susan M. McCurry
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  4. Rajnish Mehrotra
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Correspondence to Daniel Cukor.

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The authors declare no competing interests.

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Cukor, D., Unruh, M., McCurry, S.M. et al. The challenge of insomnia for patients on haemodialysis. Nat Rev Nephrol 17, 147–148 (2021). https://doi.org/10.1038/s41581-021-00396-5

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