Cited by 925Dialysis and Renal Disease ManagementMental Health Treatment and AccessChronic Kidney Disease and Diabetes

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Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies

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Palmer, Suetonia, Vecchio, Mariacristina, Craig, Jonathan C., Tonelli, Marcello, Johnson, David W., Nicolucci, Antonio, Pellegrini, Fabio, Saglimbene, Valeria, Logroscino, Giancarlo, Fishbane, Steven, Strippoli, Giovanni F.M.·2013·Kidney International

DOI 10.1038/ki.2013.77

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Abstract

Prevalence estimates of depression in chronic kidney disease (CKD) vary widely in existing studies. We conducted a systematic review and meta-analysis of observational studies to summarize the point prevalence of depressive symptoms in adults with CKD. We searched MEDLINE and Embase (through January 2012). Random-effects meta-analysis was used to estimate the prevalence of depressive symptoms. We also limited the analyses to studies using clinical interview and prespecified criteria for diagnosis. We included 249 populations (55,982 participants). Estimated prevalence of depression varied by stage of CKD and the tools used for diagnosis. Prevalence of interview-based depression in CKD stage 5D was 22.8% (confidence interval (CI), 18.6-27.6), but estimates were somewhat less precise for CKD stages 1-5 (21.4% (CI, 11.1-37.2)) and for kidney transplant recipients (25.7% (12.8-44.9)). Using self- or clinician-administered rating scales, the prevalence of depressive symptoms for CKD stage 5D was higher (39.3% (CI, 36.8-42.0)) relative to CKD stages 1-5 (26.5% (CI, 18.5-36.5)) and transplant recipients (26.6% (CI, 20.9-33.1)) and suggested that self-report scales may overestimate the presence of depression, particularly in the dialysis setting. Thus, interview-defined depression affects approximately one-quarter of adults with CKD. Given the potential prevalence of depression in the setting of CKD, randomized trials to evaluate effects of interventions for depression on patient-centered outcomes are needed.

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Authors: Palmer, S., Vecchio, M., Craig, J. C., Tonelli, M., Johnson, D. W., Nicolucci, A., Pellegrini, F., Saglimbene, V., Logroscino, G., Fishbane, S., & Strippoli, G. F. M.
Affiliations: University of Otago (NZ)
Mario Negri Sud Foundation (IT)
The University of Sydney (AU)
University of Alberta (CA)
The University of Queensland (AU)
Casa Sollievo della Sofferenza (IT)
University of Bari Aldo Moro (IT)
Hofstra University (US)
Corresponding author: Strippoli, Giovanni F.M.
ORCID: Palmer, Suetonia
Craig, Jonathan C.
Tonelli, Marcello
Johnson, David W.
Nicolucci, Antonio
Pellegrini, Fabio
Logroscino, Giancarlo
Fishbane, Steven
Strippoli, Giovanni F.M.
Venue: Kidney International
Publisher: Elsevier BV
Published: 2013-07
Volume: 84
Issue: 1
Pages: 179-191
ISSN: 0085-2538 (ISSN-L)
DOI: 10.1038/ki.2013.77
OpenAlex: W2148640119
Semantic Scholar: 4cf51004db15df18181b12c1bb8f0e7f83c53d46
Cited by: 925
References: 108
Citations by year: 2026: 70 · 2025: 108 · 2024: 97 · 2023: 101 · 2022: 92 · 2021: 85 · 2020: 75 · 2019: 65 · 2018: 75 · 2017: 33 · 2016: 57 · 2015: 32 · 2014: 24 · 2013: 7
FWCI: 5.30
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 1461 d)
Locations: Kidney International (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
Keywords: depression, chronic kidney disease, depressive symptoms, prevalence, kidney transplant recipients, dialysis, CKD staging, self-report scale
MeSH terms: Adult, Aged, Depression, Female, Humans, Male, Middle Aged, Prognosis, Quality of Life, Severity of Illness Index, Prevalence, Evidence-Based Medicine, Renal Insufficiency, Chronic, Observational Studies as Topic

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Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies

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