The Quality of Life of Patients with End-Stage Renal Disease

Abstract

We assessed the quality of life of 859 patients undergoing dialysis or transplantation, with the goal of ascertaining whether objective and subjective measures of the quality of life were influenced by case mix or treatment. We found that 79.1 per cent of the transplant recipients were able to function at nearly normal levels, as compared with between 47.5 and 59.1 per cent of the patients treated with dialysis (depending on the type). Nearly 75 per cent of the transplant recipients were able to work, as compared with between 24.7 and 59.3 per cent of the patients undergoing dialysis. On three subjective measures (life satisfaction, well-being, and psychological affect) transplant recipients had a higher quality of life than patients on dialysis. Among the patients treated with dialysis, those undergoing treatment at home had the highest quality of life. All quality-of-life differences were found to persist even after the patient case mix had been controlled statistically. Finally, the quality of life of transplant recipients compared well with that of the general population, but despite favorable subjective assessments, patients undergoing dialysis did not work or function at the same level as people in the general population.

Periodontitis and health‐related quality of life in hemodialysis patients

“…These findings are in line with previous studies (Evans et al, 1985; Merkus et al, 1997; Perlman et al, 2005). Diabetic nephropathy is the primary cause of end‐stage renal disease requiring dialysis (Akizawa, 2010).…”

Differences in quality of life across renal replacement therapies: A meta-analytic comparison

“…It was evaluated using an 1 l-item checklist developed for the present study (eg, use ofvalid and reliable measurement instruments, use of sampling controls, and examination of and,/or control for case-mix differences). We also included the Science RT vCHD (25) RT vCAPD (10) RT vHHD (7) CAPD vCHD (17) CAPD vHHD (7) CHD vHHD (11) -0.3e+ (1e) -0.88+ (6) -o.il+ (6) -0.05 (12) 0.28+ (6) 0.1e (8) -0.4e+ (14) -0.46+ (7) -0.41+ (6) -0.21+ (10) 0.12 (5) 0.22+ (7) 0.28+ (13) 0.54+ (4) 0.14 (3) 0.16 (8) -0.58 (2) -0.26 (3) 0.27f (e) 0.11 (4) 0.66+ (4) 0.23+ (7) 0.07 (4) -0. RT vCHD (16) RT vCAPD (11) RT vHHD (7) CAPD vCHD (18) CAPD vHHD (7) CHD vHHD (7) -0.73+ (11) -0.8e+ (6) -0.06 (6) -0.03 (13) -0.07 (6) -0.25+ (6) *Treatment comparison (number of studies examining emotional distress or psychological well-being).…”

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o A meta-analysis compared emotional distress and psychological well-being across renal replacement therapies (RRTs) and examined whether differences could be explained by: (1) treatment modalities, (2) case mix, or (3) methodologic rigor, Standard meta-analytic procedures were used to evaluate published comparative studies, Successful renal transplantation was associated with: (1) lower distress (effect size, d = -0.43 SD) and greater welf-being (d = 0.62 SD) than incenter hemodialysis (CHD) and (2)

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Costo-efectividad de intervenciones para insuficiencia renal crónica terminal

“…Si bien es cierto existen estudios sobre el costoefectividad para IRCT en paises de ingreso alto 3,10,20 , donde los resultados orientan hacia la promoción del trasplante renal, sin entrar a mayor detalle, tambien es cierto que en paises de ingreso medio como México, este tipo de estudios escazamente han sido desarrollados, y por lo tanto los programas de atención se organizan de acuerdo a los resultados de otros paises. En este caso, se trata de retomar metodologías de análisis desarrolladas en paises de ingreso alto y aplicarlas a las condiciones de salud y de los sistemas de salud de países de ingreso medio como México.…”