Diabetic patients treated with dialysis: complications and quality of life

Abstract

Aims/hypothesis The aim of this study was to describe the prevalence of complications, health-related quality of life (HRQOL) and the influence of beliefs about control over health in diabetic dialysis patients. Methods Of 53 eligible diabetic patients on chronic dialysis during January 2004 in our clinic, 38 (76%) completed a kidney-specific (Kidney Disease Quality of Life) and a generic (SF-36) questionnaire and were characterised in terms of cardiovascular diseases and diabetic complications. Matched groups of non-diabetic dialysis patients (n= 40) and diabetic patients with a long duration of diabetes and normal kidney function (n=38) served as controls. Generic HRQOL was compared with matched data from a survey on the Danish general population (n=2248).

Quality of Life Among Diabetic and Non-diabetic Patients on Maintenance Haemodialysis

“…Our data focusing on diabetic haemodialysis patients are similar to that obtained in the study performed by Sorensen et al characterizing diabetic patients undergoing dialysis therapy as having MCS similar to non-diabetic dialysis patients but signifi cantly reduced physical activity limited by the disease that negatively aff ects their general quality of life [16] . The outcome may be explained by a higher prevalence of comorbids such as peripheral vascular disease and coronary heart disease observed in the group of patients with diabetes.…”

“…There was higher prevalence of macrovascular complications in the diabetic group of patients observed namely myocardial infarction occurred in 37 % and stroke in 24 % of diabetic patients on maintenance haemodialysis and the frequencies were slightly higher comparing to the ones presented by Sorensen et al [16] While analyzing variables related to quality of dialysis treatment, mean Kt / V index was similar in diabetic and non-diabetic groups of patients namely 1.1 ± 0.3 vs. 1.2 ± 0.3 respectively, but there was a signifi cant diff erence between cases and controls in the number of patients with arteriovenous fi stula (74.1 % vs. 91.7 % , P < 0.001). Signifi cant diff erence in scores regarding dialysis staff encouragement was found ( Table 3 ).…”

Assessment of the quality of life in patients on haemodialysis in Iraq

“…All these problems limit daily activities and work capacity, lead to dependence on anti-diabetes drugs and disturbed sleep because of pain which affects physical health. A similar pattern of poor QOL has been reported in other studies (30,31). Furthermore, in the present study, QOL was markedly affected in patients with concomitant diabetes and hypertension compared with patients with diabetes alone because of the additional complications imposed by hypertension.…”

Identification of physical and psychosocial problems associated with diabetic nephropathy using the International Classification of Functioning, Disability and Health Core Set for Diabetes Mellitus

“…However, very few studies have been performed that investigated which physical and psychosocial problems would be more associated with diabetes patients with nephropathy, and whether these problems would differ between patients with HD and those without HD [5,6].…”