Assessment and Clinical Aspects of Health-Related Quality of Life in Dialysis Patients and Patients with Chronic Kidney Disease
- 12 April 2007
- journal article
- Published by S. Karger AG in Nephron Clinical Practice
- Vol. 106 (1), c24-c33
- https://doi.org/10.1159/000101481
Abstract
It is relevant to investigate health-related quality of life (HRQOL) in dialysis and chronic kidney disease (CKD) patients in order to optimise treatment. The aim of this study was to investigate HRQOL in dialysis and CKD patients, to compare results from patients treated with hemodialysis (HD) and peritoneal dialysis (PD) and to investigate the prediction of dialysis quality control parameters (blood hemoglobin, plasma albumin, and Kt/V) and tobacco smoking in disease-specific HRQOL. Seventy-one HD, 59 PD, and 63 CKD patients participated in the study. Dialysis quality control parameters were measured and the patients completed the questionnaire Kidney Disease Quality Of Life. PD patients rated Dialysis Staff Encouragement and Patient Satisfaction better than HD patients (p< or = 0.05). Dialysis patients scored significant lower than the general population in all generic HRQOL scales (p < or = 0.01), whereas CKD patients scored lower than the general population in 5 of 8 scales (p < or = 0.05). The dialysis quality parameters did not predict dialysis patients' disease specific HRQOL, but tobacco consumption was independently associated with low scores on a number of HRQOL scales. Based on the results, it is suggested to include elements of HRQOL as a supplement to standard quality control parameters. It is also suggested routinely to include information of the beneficial effects of physical activity already in the predialysis program, and to focus on smoking as a very important risk factor.Keywords
This publication has 20 references indexed in Scilit:
- Health status and quality of life reported by incident patients after 1 year on haemodialysis or peritoneal dialysisNephrology Dialysis Transplantation, 2005
- Effects of hemodialysis dose and membrane flux on health-related quality of life in the HEMO StudyKidney International, 2004
- Quality of life in patients treated with hemodialysis or peritoneal dialysis: What are the important determinants?Clinical Nephrology, 2003
- Smoking and cardiovascular outcomes in dialysis patients: The United States Renal Data System Wave 2 Study1,21The interpretation and reporting of the data presented here are the responsibility of the authors, and in no way should be seen as an official policy or interpretation of the United States government.2See Editorial by Orth and Uehlinger, p. 1580.Kidney International, 2003
- Comorbidity assessment using the Index of Coexistent Diseases in a multicenter clinical trialKidney International, 2001
- Well-being and Functional Ability in Uraemic Patients Before and After Having Started Dialysis TreatmentScandinavian Journal of Caring Sciences, 1997
- Quality of life in patients on chronic dialysis: Self-assessment 3 months after the start of treatmentAmerican Journal of Kidney Diseases, 1997
- Development of the Kidney Disease Quality of Life (KDQOLTM) InstrumentQuality of Life Research, 1994
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992
- Effects of Exercise Training in Predialytic Uremic PatientsNephron, 1991