Psychosocial adjustment to end-stage renal failure: comparing haemodialysis, continuous ambulatory peritoneal dialysis and transplantation

Brownbridge, Garry; Fielding, Dorothy

doi:10.1007/bf00856653

Cited by 91 publications

(50 citation statements)

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“…On the one hand, we could expect more risk behaviour in ESRD children in order to compensate for the limitations in their youth caused by the disease. Non-compliant behaviour in children with ESRD and adults has been described extensively [6]. On the other hand, it is imaginable that adults with ESRD since childhood display less risk behaviour than peers because they are aware of the vulnerability of their health.…”

Section: Discussionmentioning

confidence: 99%

“…The burden of chronic morbidity and hospitalisation interferes with this process in children with ESRD. Suffering from ESRD, and its treatment, often increases children's dependence on their parents and other adults and decreases their motor performance [5] and the participation in peer and schoolbased activities of these children [6]. This could be a threat to the accomplishment of developmental tasks.…”

Section: Introductionmentioning

confidence: 99%

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The impact of delayed development on the quality of life of adults with end-stage renal disease since childhood

et al. 2006

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Little is known about the impact of the course of life of children with end-stage renal disease (ESRD) on their quality of life in adulthood. We therefore assessed the course of life of adult patients with onset of ESRD at an age of <15 years between 1972 and 1992 and compared it with that of the general population. Furthermore, we explored how course of life is associated with quality of life (QoL) in young adulthood. A total of 75 young adult patients who had had ESRD since childhood, aged between 20 years and 30 years, completed the RAND-36 Health Survey and a questionnaire, which retrospectively assesses the achievement of development milestones. Patients achieved fewer milestones than peers with respect to autonomy, social, and psycho-sexual development, and displayed less risk behaviour. Patients who achieved fewer social milestones while growing up experienced more emotional problems and less vitality, and they had a lesser overall mental quality of life. Paediatric nephrologists should pay more attention to the development of social and independent functioning of children with ESRD in order to prepare them for active participation in society in adult life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of delayed development on the quality of life of adults with end-stage renal disease since childhood

et al. 2006

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“…Although patients receiving CAPD show better psychosocial adjustment than those receiving HD (7)(8)(9), the incurability of ESRD and the fatal outcome of the cessation of CAPD can put the patients under a very stressful condition. Such psychological stress contributes greatly to the induction of various psychological disorders among CAPD patients, especially depression (10,11).…”

Section: Introductionmentioning

confidence: 99%

Analysis of Depression in Continuous Ambulatory Peritoneal Dialysis Patients

et al. 2002

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It is well known that depression and sense of hopelessness worsen the quality of life in end-stage renal disease (ESRD) patients receiving dialysis. However, the characteristics of depression in continuous ambulatory peritoneal dialysis (CAPD) patients have not been analyzed in detail. We performed this study to investigate the severity of depression and the factors affecting depression in CAPD patients. With 96 CAPD patients, we evaluated each patient's depressive mood and hopelessness with CES-D (Center for Epidemiologic Studies Depression) scale and Beck Hopelessness Scale. We also evaluated the degree of stress of each patient with internal individual stress scale. Most CAPD patients experienced severe depression compared with the general population. Their depression was better explained by psychological factors, such as stress and sense of hopelessness, than by demographic or physical factors. On the basis of these findings, we suggest that the treatment of depression in CAPD patients might be possible by modulation of psychological factors.

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“…10,12 Ultimate rehabilitation may also be more favorable, as children on PD demonstrate improved psychosocial coping skills and less depression. 13,14 A recent report from a selected group of pediatric nephrologists 9 showed that while 73% of white chil-dren and adolescents utilized PD as their first modality, only 60% of black children and adolescents were initiated on this therapy. In light of this initial observation, we chose to explore whether this racial disparity persisted in the broader total population of children with ESRD, and to examine whether potential confounding factors beyond health insurance coverage such as age, cause and duration of ESRD, or socioeconomic status could explain the racial differences seen in the choice of RRT for the pediatric population.…”

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confidence: 99%

Racial Differences in Choice of Dialysis Modality for Children With End-stage Renal Disease

et al. 1997

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ABSTRACT. Objective. Black-white disparities in the use of specific medical and surgical services have been reported in adult populations. Such disparities are not well documented in children. We sought to determine whether racial disparities in the use of medical services exist among children with chronic illness who have similar health insurance, specifically the choice of dialysis modality for individuals with end-stage renal disease.Design. National cross-sectional study. Setting. Outpatient dialysis facilities throughout the United States.Patients and Participants. All Medicare-eligible children (age, 19 years) undergoing renal replacement therapy in 1990 in the United States, using data from the Medicare ESRD registry.Outcome Measures. The odds of receiving hemodialysis versus peritoneal dialysis according to race. Adjustment was made for differences in age, gender, cause, and duration of end-stage renal disease, income, education, and facility chracteristics using multiple logistic regression.Results. In 1990, 870 white and 368 black children received chronic (>1 year) renal replacement therapy in the United States. In bivariate analysis, blacks were two times (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.7, 2.8) more likely than whites to receive hemodialysis versus peritoneal dialysis. After controlling for other patient and facility characteristics in multivariate analysis, black children were still significantly more likely than white children to receive hemodialysis (OR, 2.4; 95% CI, 1.7, 3.5).Conclusions. Black race is strongly associated with the use of hemodialysis in children. Family, patient, or provider preferences could account for the difference in choice of therapy by race. Pediatrics 1997;99(4). URL: http://www.pediatrics.org/cgi/content/full/99/4/e6; chronic renal failure, children; racial disparities, peritoneal dialysis, health insurance.ABBREVIATIONS. ESRD, end-stage renal disease; HD, hemodialysis; PD, peritoneal dialysis; RRT, renal replacement therapy.In 1990, the Council on Ethical and Judicial Affairs of the American Medical Association called for the elimination of racial disparities in medical treatment decisions in the United States.1 They urged physicians to examine their own practices and for the profession to "increase the awareness of racial disparities in medical treatment decisions through broad discussion of the issue."1 While black-white disparities in treatment options have been previously documented in adults, particularly in nephrology, 2,3 cardiology, 4 cardiac surgery, 5 obstetrics, 1 and general internal medicine, 6 this issue has not been explored fully in populations cared for by general or subspecialty pediatricians.7 Black-white disparities in use of medical services can be confounded by differences in health insurance status making this issue difficult to examine. One population in which primary health insurance differences do not exist is in end-stage renal disease (ESRD) patients covered by Medicare insurance.Recently, lower rates in initiation of p...

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Psychosocial adjustment to end-stage renal failure: comparing haemodialysis, continuous ambulatory peritoneal dialysis and transplantation

Cited by 91 publications

References 2 publications

The impact of delayed development on the quality of life of adults with end-stage renal disease since childhood

The impact of delayed development on the quality of life of adults with end-stage renal disease since childhood

Analysis of Depression in Continuous Ambulatory Peritoneal Dialysis Patients

Racial Differences in Choice of Dialysis Modality for Children With End-stage Renal Disease

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