Author/Authors :
Ravaghi, Hamid Department of Health Services Management - School of Health Management and Information Sciences - Iran University of Medical Sciences, Tehran, Iran , Behzadifar, Masoud Department of Health Services Management - School of Health Management and Information Sciences - Iran University of Medical Sciences, Tehran, Iran , Behzadifar, Meysam Department of Epidemiology - Faculty of Health and Nutrition - Lorestan University of Medical Sciences, Khorramabad, Iran , Taheri Mirghaed, Masood Health Management and Economics Research Center - Iran University of Medical Sciences, Tehran, Iran , Aryankhesal, Aidin Department of Health Services Management - School of Health Management and Information Sciences - Iran University of Medical Sciences, Tehran, Iran , Salemi, Morteza Social Determinants in Health Promotion Research Center - Hormozgan University of Medical Sciences, Bandar Abbas, Iran , Bragazzi, Nicola Luigi School of Public Health - Department of Health Sciences (DISSAL) - University of Genoa, Genoa, Italy
Abstract :
Introduction. Chronic kidney disease is a public health problem
worldwide that is highly associated with psychological disorders.
This study aimed to assess prevalence of depression in hemodialysis
patients in Iran.
Materials and Methods. Relevant studies were identified from the
PubMed, ISI Web of Science, Ovid, Scopus, EMBASE, and Iranian
databases including Magiran, SID, IranMedex, and Irandoc, up to
December 2015. The DerSimonian-Laird random effects model was
employed to estimate the overall pooled prevalence. Heterogeneity
was investigated and subgroup analyses were carried out by sample
size and time of study.
Results. Twenty-seven studies on 2822 patients met the inclusion
criteria for analysis. The pooled analysis of depressive symptoms
in hemodialysis patients in Iran was estimated to be 62% (95%
confidence interval, 0.54 to 0.71) with a maximum rate of 95%
(95% confidence interval, 0.88 to 1.02) and a minimum rate of 9%
(95% confidence interval, 0.02 to 0.16). Statistical heterogeneity
was high (I2 = 96.9%).
Conclusions. The results of this study showed that depression
is common among dialysis patients in Iran. Early diagnosis and
effective treatment of depression can improve quality of life,
prognosis, and survival of patients.
Keywords :
metaanalysis , Iran , hemodialysis , depression
