Quality of life, mental health and health beliefs in haemodialysis and peritoneal dialysis patients: Investigating differences in early and later years of current treatment

Ginieri-Coccossis, Maria; Theofilou, Paraskevi; Synodinou, Claire; Tomaras, Vlassis; Soldatos, C. R.

doi:10.1186/1471-2369-9-14

Cited by 162 publications

(147 citation statements)

References 26 publications

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“…It carries a significant burden for patients and consumes substantial health care resources. 1 Many studies evaluating associations between the timing of the start of RRT and survival were limited in that they considered only serum creatinine level, which is decreased in patients with deteriorating nutritional status, as a surrogate marker of residual kidney function and an index to define "early" versus "late" starters. In addition, they were unable to assess clinical status or specific reasons to start RRT at a particular moment in time.…”

mentioning

confidence: 99%

Factors Influencing the Decision to Start Renal Replacement Therapy: Results of a Survey Among European Nephrologists

Luijtgaarden

Noordzij

Tomson

et al. 2012

American Journal of Kidney Diseases

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Background:Little is known about the criteria nephrologists use in the decision of when to start renal replacement therapy (RRT) in early referred adult patients. We evaluated opinions of European nephrologists on the decision for when to start RRT.Study Design: European web-based survey. Predictors: Patient presentations described as uncomplicated patients, patients with unfavorable clinical and unfavorable social conditions, or patients with specific clinical, social, and logistical factors.Setting & Participants: Nephrologists from 11 European countries. Outcomes & Measurements:We studied opinions of European nephrologists about the influence of clinical, social, and logistical factors on decision making regarding when to start RRT, reflecting practices in place in 2009. Questions included target levels of kidney function at the start of RRT and factors accelerating or postponing RRT initiation. Using linear regression, we studied determinants of target estimated glomerular filtration rate (eGFR) at the start of RRT.Results: We received 433 completed surveys. The median target eGFR selected to start RRT in uncomplicated patients was 10.0 (25th-75th percentile, 8.0-10.0) mL/min/1.73 m 2 . Level of excretory kidney function was considered the most important factor in decision making regarding uncomplicated patients (selected by 54% of respondents); in patients with unfavorable clinical versus social conditions, this factor was selected by 24% versus 32%, respectively. Acute clinical factors such as life-threatening hyperkalemia refractory to medical therapy (100%) and uremic pericarditis (98%) elicited a preference for an immediate start, whereas patient preference (69%) and vascular dementia (66%) postponed the start. Higher target eGFRs were reported by respondents from highversus low-RRT-incidence countries (10.4 [95% CI, 9.9-10.9] vs 9.1 mL/min/1.73 m 2 ) and from for-profit versus not-for-profit centers (10.1 [95% CI, 9.5-10.7] vs 9.5 mL/min/1.73 m 2 ).Limitations: We were unable to calculate the exact response rate and examined opinions rather than practice for 433 nephrologists.Conclusions: Only for uncomplicated patients did half the nephrologists consider excretory kidney function as the most important factor. Future studies should assess the weight of each factor affecting decision making. Am J Kidney Dis. 60 (6) P atients with end-stage renal disease (ESRD) receive renal replacement therapy (RRT) to improve their survival and quality of life. The decision of when to start RRT is likely to be guided by the level and rate of decrease in residual kidney function and the clinical condition of the patient. Whereas RRT might be life-saving in certain conditions, dialysis also is unphysiologic and may have life-threatening complications. It carries a significant burden for patients and consumes substantial health care resources. 1 Many studies evaluating associations between the timing of the start of RRT and survival were limited in that they considered only serum creatinine level, which is decreased in pa...

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mentioning

confidence: 99%

Factors Influencing the Decision to Start Renal Replacement Therapy: Results of a Survey Among European Nephrologists

Luijtgaarden

Noordzij

Tomson

et al. 2012

American Journal of Kidney Diseases

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“…4,5 Previous studies reported that HRQOL depends on treatment modality. 6,7 Thus, the transplant recipients scored better quality of life in comparison with hemodialysis (HD) and peritoneal dialysis patients. 8,9 Hemodialysis patients have lower score in most of the scale than peritoneal dialysis patients, especially for mental functions.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Hemodialysis patients have lower score in most of the scale than peritoneal dialysis patients, especially for mental functions. 6,7,10,11 There are a limited number of studies, which evaluate the impact of various HD treatments themselves on HRQOL. Results are inconsistent too.…”

Section: Introductionmentioning

confidence: 99%

Influence of Dialysis Modality and Membrane Flux on Quality of Life in Hemodialysis Patients

Knežević¹,

Djordjević²,

Radovanovic-Velickovic³

et al. 2012

Renal Failure

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Background: The quality of life in patients undergoing hemodialysis is significantly disturbed. There are data that hemodiafiltration (HDF) may be more effective than conventional hemodialysis in the removal of uremic toxins and may reduce frequency and severity of intradialytic and postdialysis adverse symptoms in patients. Also, some researchers suggest advantages of using high-flux membranes compared with low-flux. Objective: The aim of this study was to examine whether hemodialysis modality and membrane flux, independent of membrane biocompatibility, make differences in quality of life in patients. Methods: In our cross-sectional study, we evaluated 124 patients who were divided, based on therapy, into three groups: online HDF, high-flux hemodialysis, and low-flux hemodialysis. Data were collected using the Short Form-36 questionnaire combined with special questionnaire, which included demographic and clinically related questions. Results: Health-related quality of life was better in patients on HDF compared with patients on hemodialysis, especially compared with low-flux hemodialysis patients in most of the scales and in both dimensions: physical component scale and mental component scale. There were no statistically significant differences in Short Form-36 domains between high-flux hemodialysis and low-flux hemodialysis. Conclusion: Our data suggest the potential advantages of HDF with regard to influence on quality of life, which is sufficient to justify further research in prospective and longitudinal study design.

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“…21 Gi ni e riCoc co sis et al al so sta ted in the ir study that pa tients on HD tre at ment, par ti cu larly tho se with many ye ars of tre at ment, we re ex pe ri en cing a more com pro mi sed QOL in com pa ri son to CAPD/PD pa ti ents. 22 Pa na go po u lo u et al re por ted that the CAPD pa ti ents we re mo re sa tis fi ed, mo re comp liant, bet ter mo ti va ted, and less an xi o us and depres sed com pa red to the HD pa ti ents who sco red low in every as pect stu di ed. 23 In the study of La use vic et al whe re SF-36 was used, the aut hors stated that in an in ci den tal gro up of pa ti ents, one ye ar of pe ri to ne al di aly sis tre at ment was as so ci a ted with a slight im pro ve ment in both physi cal compo nent sum mary sco re (PCS) and men tal com ponent sum mary sco re (MCS), but sta tis ti cal sig ni fican ce was fo und in the ro le-physi cal li mi ta ti on (RP), bo dily pa in (BP), and vi ta lity (VT) sca les only.…”

Section: Discussionmentioning

confidence: 99%

“…19 In so me ot her stu di es QOL sco res we re higher in the CAPD pa ti ents. [20][21][22][23][24] The study of Ka lender et al whe re SF-36 was used to eva lu a te QOL of chro nic kid ney di se a se pa ti ents re por ted that the SF-36 sco res we re hig her in the CAPD gro up than HD gro up. 20 Shrest ha et al sta ted that pa ti ents on CAPD ha d bet ter qu a lity of li fe than pa ti ents on HD es pe ci ally in terms of men tal he alth.…”

Section: Discussionmentioning

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, mental health and health beliefs in haemodialysis and peritoneal dialysis patients: Investigating differences in early and later years of current treatment

Cited by 162 publications

References 26 publications

Factors Influencing the Decision to Start Renal Replacement Therapy: Results of a Survey Among European Nephrologists

Factors Influencing the Decision to Start Renal Replacement Therapy: Results of a Survey Among European Nephrologists

Influence of Dialysis Modality and Membrane Flux on Quality of Life in Hemodialysis Patients

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

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