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Cross-sectional study
People receiving dialysis in the morning have better subjective sleep quality than those who receive dialysis at other times
  1. Stephanie Thompson
  1. Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
  1. Correspondence to: Dr Stephanie Thompson, Department of Medicine, University of Alberta, RTF 3064 8308 114 Street, Edmonton, Alberta, Canada T6G2V2; th11{at}

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Commentary on: Wang MY, Chan SF, Chang LI, et al. Better sleep quality in chronic haemodialyzed patients is associated with morning-shift dialysis: a cross-sectional observational study. Int J Nurs Stud 2013;50:1468–73.

Implications for practice and research

  • Assessment of sleep quality, with attention to disease and treatment-related factors, should be incorporated into the routine care of haemodialysis patients.

  • Rigorous studies aimed at evaluating interventions for improved sleep in this population are needed.


Sleep disturbances are a common problem among haemodialysis patients, with an estimated prevalence of 50% to 80%.1 The implications of disturbed sleep are substantial; compared with haemodialysis patients who do not report sleep disturbances, poor sleep is independently associated with lower health-related quality of life and an increased relative risk in mortality of 16%.2 As the timing of the dialysis shift may influence sleep–wake …

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