{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:11:20Z","timestamp":1760145080393,"version":"3.37.3"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dyspnoea is a common, disabling symptom of people living with end\u2010stage kidney disease (ESKD), which may persist despite optimal management. Dyspnoea assessments can be grouped according to the instruments that assess domains related to: sensory\u2010perception (intensity, sensory quality), affective distress (unpleasantness) and impact\/burden (function, quality of life).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe dyspnoea assessment in adults with ESKD receiving renal replacement therapy (RRT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Systematic review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five databases were searched. Primary studies reporting an assessment of dyspnoea in adults with ESKD receiving RRT were included. Studies were excluded where participants with ESKD had received palliative\/conservative treatment (no dialysis) or renal transplant. Conference abstracts, protocols, commentaries and\/or images were excluded. Two independent reviewers screened and extracted the data. Descriptive analysis summarised the (1) number and type of instruments used to assess dyspnoea; (2) which dyspnoea domains to be assessed and (3) rationale and context for dyspnoea assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2,234 records screened, 28 studies were eligible for inclusion (observational n\u2009=\u200922 and experimental n\u2009=\u20096). Across studies, 12 different instruments were identified (dyspnoea\u2010specific n\u2009=\u20093, subscale of a comprehensive instrument n\u2009=\u20099). Most instruments (n\u2009=\u200911, 92%) assessed a single domain (intensity n\u2009=\u20096, unpleasantness n\u2009=\u20096 and impact\/burden n\u2009=\u20095). Studies reported a rationale for measuring dyspnoea (n\u2009=\u200926) as either a characteristic of the participant cohort (n\u2009=\u200914) or as an outcome (n\u2009=\u200914).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surprisingly, a few primary studies reported assessment of dyspnoea in people with ESKD receiving RRT. When assessed, there was a predominance of unidimensional instruments. As dyspnoea is associated with adverse clinical outcomes, routine dyspnoea assessment may improve management and relieve suffering.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jorc.12321","type":"journal-article","created":{"date-parts":[[2020,2,13]],"date-time":"2020-02-13T04:14:30Z","timestamp":1581567270000},"page":"137-150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Dyspnoea Assessment In Adults With End\u2010Stage Kidney Disease: A Systematic Review"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1060-6597","authenticated-orcid":false,"given":"Maria","family":"Chilvers","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery University of South Australia Adelaide South Australia 1067 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kylie","family":"Johnston","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of South Australia Adelaide South Australia 1067 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katia","family":"Ferrar","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of South Australia Adelaide South Australia 1067 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie T.","family":"Williams","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of South Australia Adelaide South Australia 1067 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/1110-1083.193087"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12152"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2013.12022.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12051"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-019-1527-3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/leu.2013.29"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000437112.43059.a0"},{"issue":"3","key":"e_1_2_9_9_1","first-page":"1","article-title":"Routine dyspnea assessment and documentation: nurses\u2019 experience yields wide acceptance","volume":"16","author":"Baker K.","year":"2017","journal-title":"BMC Nursing"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2340\/1650197719702239298"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.02.014"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00280-016-3068-9"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12159"},{"volume-title":"Covidence, Computer Program","year":"2018","author":"Covidence","key":"e_1_2_9_14_1"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2013-204701"},{"issue":"9","key":"e_1_2_9_16_1","first-page":"1621","article-title":"Cross\u2010sectional validity of a modified Edmonton symptom assessment system in dialysis patients: a simple assessment of symptom burden","volume":"69","author":"Davison S.N.","year":"2006","journal-title":"International Society of Nephrology"},{"issue":"1","key":"e_1_2_9_17_1","first-page":"24","article-title":"Functional evaluation pre and post physical exercise program for patients in hemodialysis","volume":"46","author":"De Lima F.F.","year":"2013","journal-title":"Medicine (Ribeirao Preto)"},{"key":"e_1_2_9_18_1","first-page":"1","article-title":"Telehealth: acceptability, clinical interventions and quality of life in peritoneal dialysis","volume":"10","author":"Dey V.","year":"2016","journal-title":"SAGE Open Medicine"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2016.05.126"},{"key":"e_1_2_9_20_1","unstructured":"European Renal Best Practice (ERBP). 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