Effects of far infrared therapy in hemodialysis arterio-venous fistula maturation: A meta-analysis

Chiu-Feng Wu, Tzu-Pei Yeh, Tzu-Chen Lin, Po-Hsiang Huang and Pin-Jui Huang

PLOS ONE, 2024, vol. 19, issue 8, 1-14

Abstract: Introduction: Hemodialysis patients rely on stable vascular access to perform effective hemodialysis and reach good dialysis quality. However, an obstructed or under-matured arteriovenous fistula (AVF) may increase infection rate and mortality in hemodialysis patients. Far infrared (FIR) therapy might help to promote AVF maturation and reduce obstruction rate. Therefore, this meta-analysis was conducted to evaluate the effect of FIR therapy on AVF obstruction rate and maturation. Material and method: PubMed, Embase, the Cochrane Library, and other databases which provide publications in randomized controlled trials (RCTs) of FIR to improve AVF in patients with CKD (Chronic Kidney Disease) or HD (hemodialysis) were used to collect articles which published before February 2023. Two authors selected relevant articles independently based on pre-defined inclusion and exclusion criteria, and assessed the quality of the articles by using the Cochrane Handbook before performing a meta-analysis in Review Manager (RevMan) 5.4 software. Results: Four RCTs with 475 patients were included. The results of the meta-analysis showed that the FIR therapy groups had better physiological maturation at 3 months (RR = 1.22; 95% CI = 1.07 to 1.39; p = .002) and clinical maturation at 12 months (RR = 1.35; 95% CI = 1.14 to 1.60; p

Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0307586

DOI: 10.1371/journal.pone.0307586

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