Quality of life in patients with chronic kidney disease

Abstract

AIM:To compare the dimensions of quality of life in the stages of chronic kidney disease and the influence of sociodemographic, clinical and laboratory data.INTRODUCTION:The information available on the quality of life of patients on conservative treatment and the relationship between the quality of life and glomerular filtration rate is limited.METHODS:155 patients in stages 1–5 of chronic kidney disease and 36 in hemodialysis were studied. Quality of life was rated by the Medical Outcomes Study Short Form 36-Item (SF-36) and functional status by the Karnofsky Performance Scale. Clinical, laboratory and sociodemographic variables were investigated.RESULTS:Quality of life decreased in all stages of kidney disease. A reduction in physical functioning, physical role functioning and in the physical component summary was observed progressively in the different stages of kidney disease. Individuals with higher educational level who were professionally active displayed higher physical component summary values, whereas men and those with a higher income presented better mental component summary values. Older patients performed worse on the physical component summary and better on the mental component summary. Hemoglobin levels correlated with higher physical component summary values and the Karnofsky scale. Three or more comorbidities had an impact on the physical dimension.CONCLUSION:Quality of life is decreased in renal patients in the early stages of disease. No association was detected between the stages of the disease and the quality of life. It was possible to establish sociodemographic, clinical and laboratory risk factors for a worse quality of life in this population.

Mudanças na qualidade de vida após transplante renal e fatores relacionados

“…(3,4) Renal Insufficiency (RI) and the complexity of their treatment constitute a serious public health problem worldwide, with social and financial burden resulting from increasing rates of young patients with renal function failure. (6) Thus, measurement of patients' Quality of Life (QoL) after kidney transplantation, is a relevant topic for many individuals who are on dialysis in Brazil and receive care in one of the 696 dialysis centers registered in the Nephrology Brazilian Society (NBS). (7) Renal transplantation is the best therapeutic option for patients with chronic kidney disease.…”

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“…18 Recent studies have also suggested that a poor HRQOL was strongly related to increased risk of mortality in patients on dialysis. 19,20 Güney and associates reported that poor HRQOL, especially its physical component, increased the risk of mortality in HD patients.…”

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

“…It refers to the person's quality of life impacted by health-related problems, and it can provide important information concerning how the individual is coping with their CKD (Ibrahim, Teo, Che Din, Abdul Gafor, & Ismail, 2015;Pagels, Söderkvist, Medin, Hylander, & Heiwe, 2012). Being diagnosed with CKD affects all the aspects of life reviewed in the previous section, and HRQoL is known to be compromised not only in advanced CKD stages but also in earlier stages of the disease (Aggarwal, Jain, Pawar, & Yadav, 2016;Cruz et al, 2011;Pagels et al, 2012). For instance, Ibrahim et al (2015) found that a lower HRQoL was associated with a higher risk of kidney function reduction, and the consequences were increasing mortality and need for hospitalisation.…”