The Associations of Social Support and Other Psychosocial Factors with Mortality and Quality of Life in the Dialysis Outcomes and Practice Patterns Study

Untas, Aurélie; Thumma, Jyothi R.; Rascle, Nicole; Rayner, Hugh; Mapes, Donna; Lopes, Antônio Alberto; Fukuhara, Shunichi; Akizawa, Tadao; Morgenstern, Hal; Robinson, Bruce M.; Pisoni, Ronald L.; Combe, Christian

doi:10.2215/cjn.02340310

Cited by 154 publications

(131 citation statements)

References 29 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…That may indicate that patients including their family members, caregivers and even the social employers should also be educated about treatment choices and therapeutic goals for kidney failure [6,26]. What's more, social support programs such as spiritual care, employment counseling or vocational rehabilitation may lower some of the barriers to employment and can help individuals with the greatest potential for workforce participation [27][28][29][30]. We acknowledge some potential limitations in our study.…”

Section: Discussionmentioning

confidence: 99%

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Huang

Lai

et al. 2017

Renal Failure

View full text Add to dashboard Cite

Aim: Returning to society plays an important role in improving the quality of life in maintenance hemodialysis (MHD) patients, and retention of employment is one of the core enablers. The study is to assess the employment status and to determine the variables for unemployment in Chinese MHD patients. Methods: Prevalent MHD patients from four dialysis centers in Shanghai China were enrolled. We assessed patients' employment status, current social functioning, hemodialysis modality, annual income and general health condition. Among current unemployed working-age patients, the reasons of quitting jobs and willingness of being reemployed were evaluated. Results: A total of 231 patients were studied, among which 114 patients were unemployed 1 year before hemodialysis. Among 117 employed patients, 16 patients quitted jobs before dialysis inception, while 49 patients quitted jobs at the initiation of HD, and 26 patients followed after a few months' HD. The main reasons for ceasing employment were physical insufficiency, conflict between dialysis and work schedules, lack of support from employers and resistance from family members. Among the 166 patients who were in their working age, 26 patients were employed. The unemployed patients had the characters of elder age, lower education level, higher annual family income, higher female ratio, lower blood flow, lower physical functioning, and social functioning and lower frequency of weekend hemodialysis and HDF/HF. Among the 140 unemployed patients, only 47 patients had the willingness of being reemployed. Their unemployment status was positively associated with elder age ((OR) 3.13, 95% CI, 1.08-9.1), lower education level ((OR) 1.97, 95% CI, 1.05-5.92), and higher family income ((OR) 7.75, 95% CI, 2.49-24.14).

show abstract

Section: Discussionmentioning

confidence: 99%

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Huang

Lai

et al. 2017

Renal Failure

View full text Add to dashboard Cite

show abstract

“…In addition to the items discussed in this review, comorbidity burden and social status may be of added value when focusing on risk assessment, because both are associated with mortality. However, for social status, this was assessed in the prevalent population only (53). A GA focusing on rehabilitation may additionally include geriatric syndromes, such as delirium, incontinence, constipation, osteoporosis, and sensory deficits, because these issues may be amenable to interventions that could potentially improve quality of life (52).…”

Section: Discussionmentioning

confidence: 99%

The Relevance of Geriatric Impairments in Patients Starting Dialysis: A Systematic Review

Loon

Wouters²,

Boereboom

et al. 2016

CJASN

View full text Add to dashboard Cite

Background and objectives With aging of the general population, patients who enter dialysis therapy will more frequently have geriatric impairments and a considerable comorbidity burden. The most vulnerable among these patients might benefit from conservative therapy. Whether assessment of geriatric impairments would contribute to the decision-making process of dialysis initiation is unknown.Design, setting, participants, & measurements A systematic Medline and Embase search was performed on December 1, 2015 to identify studies assessing the association between risk of mortality or hospitalization and one or more geriatric impairments at the start of dialysis therapy, including impairment of cognitive function, mood, performance status or (instrumental) activities of daily living, mobility (including falls), social environment, or nutritional status.Results Twenty-seven studies were identified that assessed one or more geriatric impairments with respect to prognosis. The quality of most studies was moderate. Only seven studies carried out an analysis of elderly patients ($70 years old). Malnutrition and frailty were systematically assessed, and their relation with mortality was clear. In addition, cognitive impairment and functional outcomes at the initiation of dialysis were related to an increased mortality in most studies. However, not all studies applied systematic assessment tools, thereby potentially missing relevant impairment. None of the studies applied a geriatric assessment across multiple domains.Conclusions Geriatric impairment across multiple domains at dialysis initiation is related to poor outcome. However, information in the elderly is sparse, and a systematic approach of multiple domains with respect to poor outcome has not been performed. Because a geriatric assessment has proved useful in predicting outcome in other medical fields, its potential role in the ESRD population should be the subject of future research.

show abstract

“…Babaei et al (24) in a study conducted on 719 patients with diabetes aimed at examining their awareness and understanding of the disease and its complications indicated that the patients had low levels of knowledge about diabetes and its complications and most of them needed training. A longitudinal study (25) analyzed data on 32,332 patients undergoing dialysis in 12 nations and concluded that low social support and other social and mental factors were significantly associated with a high risk of mortality. Since hemodialysis is one of the most discussed issues related to healthcare worldwide, including Iran (26), carrying out new research to examine the role of social support, illness perceptions, and resilience in managing this disease and reducing its complications is of significant importance.…”

Section: Introductionmentioning

confidence: 99%

Predicting Resilience via Social Support and Illness Perceptions Among Patients Undergoing Hemodialysis

Hajmohammadi

Shirazi

2017

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

Background and Objectives: Chronic renal disease is a threatening condition for the health, economic, and social status of the affected person and his/her family. Patients undergoing hemodialysis encounter mental and health problems; the current study aimed at predicting resilience via social support and illness perceptions among patients undergoing hemodialysis. Methods:The current descriptive-correlational study had a statistical population including 308 patients undergoing hemodialysis in Kerman, Iran, in 2017. Based on the Krejcie-Morgan table, the minimum required sample size was 169. The sample was selected using a convenience sampling method. Data collection tools were the Connor-Davidson resilience scale, the medical outcome study (MOS) social support survey developed by Sherbourne and Stewart, and the brief illness perception questionnaire developed by Broadbent et al. Data were analyzed using a Pearson correlation coefficient and a stepwise regression analysis via SPSS version 19. Results: Results indicated that resilience was significantly and positively related to social support (r = 0.318, P < 0.05) and illness perceptions (r = 0.165, P < 0.05). Among the subscales of social support, emotional support, tangible support, and social interaction could predict resilience, and among the subscales of illness perceptions, only cognitive representation could predict resilience. Conclusions:The obtained results demonstrated that resilience was significantly and positively related to social support and illness perceptions. Additionally, the subscales of social support and illness perceptions could predict resilience among the patients undergoing hemodialysis.

show abstract

The Associations of Social Support and Other Psychosocial Factors with Mortality and Quality of Life in the Dialysis Outcomes and Practice Patterns Study

Cited by 154 publications

References 29 publications

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

The Relevance of Geriatric Impairments in Patients Starting Dialysis: A Systematic Review

Predicting Resilience via Social Support and Illness Perceptions Among Patients Undergoing Hemodialysis

Contact Info

Product

Resources

About