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Systematic literature review and meta-analysis by Wahida et al. 2023

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posted on 2025-03-13, 16:22 authored by Roseanne BillanyRoseanne Billany

Dear Editor,When reading the systematic review and meta-analysis “The effectiveness of intradialytic exercise in ameliorating fatigue symptoms in patients with chronic kidney failure undergoing hemodialysis: A systematic literature review and meta-analysis.” by Wahida et al. published in the Journal of Taibah University Medical Sciences1 I noticed an inconsistency in the inclusion of an article in the meta-analysis that needs addressing.To summarise, the review meta-analysed data from studies of adult patients with chronic kidney failure undergoing hemodiaylsis who had taken part in a program of intradialytic exercise compared to a control group of patients that did not receive intradialytic exercise. The study reviewed type and duration of exercise, execution time, and frequency of intradialytic exercise and included randomized controlled trials (RCT) and quasi-experimental studies.One of the included studies within the review and meta-analysis was by Wilkinson et al.2 This study does not meet the inclusion criteria for the review as this was an RCT of 36 patients with chronic kidney disease not requiring renal replacement therapy and the exercise program was not intra-dialytic exercise. Whilst there were 14 other studies included within these meta-analyses, there are profound differences between patients receiving hemodialysis and patients not requiring renal replacement therapy and in the exercise interventions. Given the potential impact on the findings of the review, I am requesting that the authors re-analyse the results of the meta-analysis with the study by Wilkinson et al.2 removed.

History

Author affiliation

College of Life Sciences Cardiovascular Sciences

Version

  • VoR (Version of Record)

Published in

Journal of Taibah University Medical Sciences

Volume

20

Issue

1

Pagination

109 - 109

Publisher

Elsevier BV

issn

1658-3612

Copyright date

2025

Available date

2025-03-13

Language

en

Deposited by

Dr Roseanne Billany

Deposit date

2025-02-25

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