Quality of life in peritoneal dialysis patients: Decline over time and association with clinical outcomes

Bakewell, Anne B.; Higgins, Rob; Edmunds, Matthew R.

doi:10.1046/j.1523-1755.2002.00096.x

Cited by 138 publications

(169 citation statements)

References 41 publications

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“…In-depth Review Fleck et al [53] , 2007 Discussion Carver et al [57] , 1995 Review Blinkhorn [61] , 2012 Review O'Connor et al [64] , 2012 Review Catania et al [65] , 2013 Report Quantitative Study design Questionnaire used Mapes et al [8] Longitudinal KDQOLSF-36 Kao et al [13] , 2009 Cross sectional SF-36 Abraham et al [14] , 2008 Case control, follow up WHOQOL-BREF Kimmel et al [15] , 2008 Prospective Satisfaction with Life Scale (SLS), McGill QOL, Single item Patel et al [16] , 2002 Prospective McGill QOL, Beck Depression Griva et al [17] , 2009 Cross sectional SF-36 Elder et al [19] , 2008 Cross sectional, case mix KDQOLSF-36 Sanner et al [20] , 2002 Cross sectional SF-36, Nottingham Health Profile Tondra [22] , 2014 Conceptual Framework, CS Quality of Life Index Dialysis, Mingardi et al [23] , 1999 Prospective SF-36 Seica et al [24] , 2009 Cross sectional SF-36, KDQOLSF-36 Bakewell et al [25] , 2002 Longitudinal /intervention KDQOLSF-36 Theofilou [26] , 2012 Cross sectional/ Observational WHOQOL-BREF, GHQ-28 Kim et al [28] , 2013 Cross sectional KDQOLSF-36 White et al [29] , 2002 Retrospective cohort SF-36 Painter et al [32] , 2000 Experimental/Intervention SF-36 Ouzouni et al [33] , 2009 RCT SF-36, Quality of Life Index Agakhani et al [34] , 2012 Case control/comparative SF-36 Hegazy et al [35] , 2013…”

Section: Resultsmentioning

confidence: 99%

“…[22,25] , influence of dialysis care practice [27] , self-efficacy, treatment satisfaction [28] , pre-dialysis clinic attendance [29] , exercise [30] . Intervention such as dietary counseling [34,35] , individual/group counselling [14,36,37,40] , education on regular exercise [31][32][33] , physical and psychological rehabilitation interventions, palliative care to manage symptoms [38] , and cognitive behavior therapy to reduce depression [39] Inverse association of factors with QOL More worries and higher depression [13] , ignorance about the basic facts of one's disease [14] , Pain, financial constraints [14] , psychological and spiritual factors [15] , emotional impact, physical impact on daily living, role of religious and spiritual beliefs [16] , beliefs related to illness and treatment [17] , anxiety, depression, suicidal ideation, grief of loss of kidney, self-image selfesteem [18] , sleep quality [19] , sleep related breathing disorders [20] , as well as erectile dysfunction, patient satisfaction with care, depressive aspects, symptom burden, and perception of intrusiveness of illness [21] , female gender [22][23][24]26] , ethnicity [25] , older age [26] , less education [24,26] , poor nutritional status [25] and divorced marital status, Illness and treatment beliefs [17] , work and Symptom domain [25] No or very weak association of fa...…”

Section: Discussionmentioning

confidence: 99%

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Quality of life in end stage renal disease patients

Joshi¹

2014

WJN

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AIM:To understand factors associated with quality of life (QOL), examine types of QOL instruments, and determine need for further improvements in QOL assessment. METHODS:The method used databases (Pubmed, Google scholar) and a bibliographic search using key words QOL, end stage renal disease, Hemodialysis, Peritoneal dialysis, instruments to measure QOL, patients and qualitative/quantitative analysis published during 1990 to June 2014. Each article was assessed for sample size, demographics of participants, study design and type of QOL instruments used. We used WHO definition of QOL. RESULTS:For this review, 109 articles were screened, out of which 65 articles were selected. Out of 65 articles, there were 19 reports/reviews and 12 questionnaire manuals. Of the 34 studies, 82% were quantitative while only 18% were qualitative. QOL instruments measured several phenomenon such as physical/psychological health, effects and burdens of kidney disease, social support etc. those are associated with QOL. Few studies looked at spiritual beliefs, cultural beliefs, personal concerns, as per the WHO definition. Telemedicine and Palliative care have now been successfully used however QOL instruments seldom addressed those in the articles reviewed. Also noticed was that longitudinal studies were rarely conducted. Existing QOL instruments only partially measure QOL. This may limit validity of predictive power of QOL. CONCLUSION:Culture and disease specific QOL instruments that assess patients' objective and subjective experiences covering most aspects of QOL are urgently needed.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quality of life in end stage renal disease patients

Joshi¹

2014

WJN

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“…Among the components of HRQOL, self-reported mental health has been linked with higher mortality in dialysis patients in several studies (4)(5)(6)10,11). Most of these studies have only investigated the relationship between mortality and mental health at baseline and not mental health over time, although deterioration in HRQOL over time has been observed in dialysis patients (12,13).…”

Section: Introductionmentioning

confidence: 99%

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

Kang

Pike

Ramer

et al. 2012

Clinical Journal of the American Society of Nephrology

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Summary Background and objectives Poor mental health over time is significantly associated with cardiovascular morbidity and mortality in the general population, which is the leading cause of death in dialysis patients. Most studies of dialysis patients, however, have investigated the relationship between baseline mental health measurements and all-cause mortality and not mental health measured longitudinally throughout a study and cause-specific mortality. Design, setting, participants, & measurements This study examined the association of changes in mental health over time with all-cause and cause-specific deaths and cardiac hospitalizations in the Hemodialysis study patients. Mental health was assessed at baseline and annually during the study with short form 36 mental health index scores. Poorer mental health was defined by a mental health index score≤60. Results Patients with poorer mental health at baseline were more likely to have less than a high school education and be unmarried, have significantly higher index of coexistent disease scores, and report taking β-blockers and sleep medications. Low mental health scores over time were independently associated with a decrease in survival time from all-cause mortality by −0.06 (−0.10, −0.03; P<0.001), and they also significantly hastened time to first cardiac hospitalization by −0.08 (−0.13, −0.02; P=0.01) and composite of first cardiac hospitalization or cardiac death by −0.04 (−0.07, −0.02; P<0.001). Conclusions This study found an independent association between poor mental health over time and all-cause mortality, cardiac hospitalization, and the composite of cardiac death or cardiac hospitalization in hemodialysis patients. The results underscore the importance of attention to mental health related to cardiac complications and even death in dialysis patients.

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“…Both met hods ha ve its own ad van ta ges and di sad van ta ges in ac hi e ving the go al of the rapy. [4][5][6] Pe ri to ne al di aly sis (PD) has se ve ral ad van ta ges which may po si ti vely af fect QOL such as easy app li ca ti on, por ta bi lity, bet ter blo od pres su re con trol in pa ti ents with car di ac prob lems, ea si er app li ca tion for pa ti ents with vas cu lar prob lems li ke very young and el derly pa ti ents, less risk for he pa ti tis and less di e tary and li qu id in ta ke li mi ta ti ons. Ho we ver, the re is an in cre a sed risk of in fec ti on, ina de qu a te di aly sis, hyper-trigl yce ri de mi a, po ten ti al pro te in loss, mal nut ri ti on and psycho lo gi cal prob lems.…”

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confidence: 99%

“…Un for tu na tely, it has al so so me disad van ta ges such as the ne ed for mi nor sur gery of A-V shunts, di et and li qu id li mi ta ti ons. 4 This study aims to com pa re qu a lity of li fe status of HD and CAPD pa ti ents, and al so to in ves tiga te how so ci o-de mog rap hic cha rac te ris tics, di sea se-re la ted va ri ab les and he ma to lo gic and bi oche mi cal pa ra me ters of pa ti ents af fect QOL do mains.…”

mentioning

confidence: 99%

Comparison of Health-Related Quality of Life of Patients on Hemodialysis and Continuous Ambulatory Peritoneal Dialysis

İzbırak¹,

Akan²,

Mistik³

et al. 2010

Turkiye Klinikleri J Med Sci

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status of patients with end stage renal disease (ESRD) on hemodialysis (HD) and continuous ambulatory peritoneal dialysis (CAPD) treatment, and to define in which way their perception of quality of life (QOL) is affected by socio-demographic characteristics, disease-related variables and laboratory findings. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this cross-sectional study, 22 consecutive patients on CAPD treatment at a Training and Research Hospital (42%) and 30 consecutive patients on HD treatment at a private healthcare center (57%) -who met the eligilibity criteria-were evaluated in a period of three months between November 2004 and January 2005. The patients answered to two questionnaires with a face to face interview method. The first questionnaire was composed of questions regarding socio-demographic and disease-related variables. The second questionnaire was the Turkish version of The Medical Outcomes Study Short-Form 36 (SF-36) Health Status Survey, which was used to assess the general HRQOL. Data regarding laboratory findings and complications of chronic renal failure were collected from the patients' medical records. R Re es su ul lt ts s: : CAPD patients had better physical functioning (p= 0.003) and physical role limitation (p= 0.001) scores in certain SF-36 sub-domains compared to HD patients. There was a moderate positive correlation between albumin levels and physical function, while thrombocyte counts were negatively correlated with vitality and social function in HD patients. In the CAPD group, calcium and hematocrit levels were positively correlated with vitality. There was a negative correlation between phosphorus levels and mental health status and a negative correlation between potassium levels and general health status of CAPD patients. C Co on nc cl lu u--s si io on n: : In our study we observed higher quality of life scores in the CAPD group compared to the HD group especially in the area of physical function which may be explained by portability, easy application and mobility of these patients, which are some of the advantages compared to HD patients. Since QOL scores are affected by the modality of dialysis in ESRD patients, besides clinical parameters QOL status of these patients should also be considered in choosing the treatment modality and follow-up process.K Ke ey y W Wo or rd ds s: : Quality of life; renal dialysis; peritoneal dialysis, continuous ambulatory Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmanın amacı, hemodiyaliz ve sürekli ayakta periton diyalizi tedavisi uygulanan son dönem böbrek yetmezliği hastalarında sağlığa-ilişkin yaşam kalitesinin karşılaştırılması ve sosyodemografik özellikler, hastalığa ilişkin değişkenler ve laboratuvar bulgularının bu hastaların yaşam kalitesini ne şekilde etkilediğini araştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu kesitsel çalışmada, 2004 Kasım ve 2005 Ocak ayları arasında, çalışmaya uygunluk kriterlerini karşılayan, bir eğitim ve araştırma hastanesinde sürekli ayakta periton diyalizi uygulanan...

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Quality of life in peritoneal dialysis patients: Decline over time and association with clinical outcomes

Abstract: Quality of life declines in patients on PD over time. Certain aspects of QoL are especially poor in Asian and male patients. This study suggests that further research is necessary to determine the effects of interventions directed at enhancing emotional and social support.

Cited by 138 publications

References 41 publications

Quality of life in end stage renal disease patients

Quality of life in end stage renal disease patients

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

Comparison of Health-Related Quality of Life of Patients on Hemodialysis and Continuous Ambulatory Peritoneal Dialysis

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