Women on hemodialysis have lower self-reported health-related quality of life scores but better survival than men

Peng, Yu‐Sen; Huang, Jenq‐Wen; Hung, Kuan‐Yu; Lin, Bing-Shi; Lin, Chien‐Yu; Yang, Chin-Sheng; Chen, Tzen‐Wen; Hsia, Ching-Chih; Chen, Da-Lung; Hsu, Wen-Ding; Chang, Chia‐Ming; Wu, Mai‐Szu; Lin, Ru-Ping; Tsai, Tun‐Jun; Chen, Wang-Yu

doi:10.5301/jn.5000153

Cited by 18 publications

(23 citation statements)

References 39 publications

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“…This finding corroborates Lew-starowicz's findings showing that women who are undergoing hemodialysis and have lower sexual function index also have lower quality of live [27 ] a finding recently confirmed by Peng and al [28]. It seems that a part of somatic, mental and social health of women is related to their sexual function and marriage relations.…”

Section: Discussionsupporting

confidence: 81%

“…The sample size was small and the cutpoint used to define sexual dysfunction was that of European societies, and could be less appropriate for our population. Studies have shown that the good quality of dialysis positively influenced the sexual functions [28] and having only two sessions of dialysis may have overestimated the prevalence in our population. We couldn't correlate the dysfunction with the quality of dialysis.…”

Section: Discussionmentioning

confidence: 92%

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Sexual Function and Correlates in Women Undergoing Maintenance Hemodialysis in Cameroon: A Multi-centric Study

Teuwafeu¹,

Ashuntantang²,

Essi³

et al. 2016

TOUNJ

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Purpose of The Study:The aim of this study was to describe sexual function disorders and investigate associated factors in women on maintenance hemodialysis in Cameroon. Methods:This was a cross-sectional study of three months duration (August-October 2014) in adult women on maintenance hemodialysis (HD) at three HD facilities in Cameroon. Patients with active psychiatric disease, infection or uncontrolled congestive heart failure were excluded. We use the Rosen questionnaire for evaluating female sexual function (FSFI), the Beck depression Inventory (BDI) and the short form (SF-36) of WHOQOL-BREF questionnaire to evaluate the quality of life (QOL). Logistic regressions were used to investigate the predictors of sexual function disorders. Results:We included 52 women with the mean age of 38±13 years (min-max: 18-69), with 31 (62%) being of child-bearing age (18-44 years). All participants had at least one sexual function abnormality including sexual dysfunction (75%), abnormalities of the menstrual cycle (83%), and sexual inactivity (30%). In women of child-bearing age, reported menstrual disorders were: irregular menses (45%), non-gravid amenorrhea (40%), oligo-menorrhea (25%), poly-menorrhea (25%), metrorrhagia (6%), and menorrhagia (3%). Ten of the 31 women had more than one menstrual disorder. Sexual dysfunction included: decreased sexual desire (56%), decreased sexual arousal (39%), decreased vaginal lubrication (49%), and failure to achieve orgasm (46%), sexual dissatisfaction (51%), and dyspareunia (36%). Advanced age (p = 0.0046), depression (p<0.0001), anemia (p=0.0005) and poor quality of life were negatively associated with sexual dysfunction. Sexual inactivity (p = 0.035) was equally associated with poor quality of life. Conclusion:Our results suggest that disorders of sexual function are common in women on maintenance hemodialysis, and are associated with depression, poor quality of life, advanced age, and anemia.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 92%

Sexual Function and Correlates in Women Undergoing Maintenance Hemodialysis in Cameroon: A Multi-centric Study

Teuwafeu¹,

Ashuntantang²,

Essi³

et al. 2016

TOUNJ

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“…As the model included adjustment for patient's weight, these associations were independent of the gender and race weight differences. The association of race [27,28,29,30,31] and gender [32,33,34,35] with QOL in HD patients have long been noted. These may be secondary to spiritual beliefs [28], social factors [31,] psychological factors [29,34,35], how different genders or ethnic groups perceive their health level, or to different health expectations [30].…”

Section: Discussionmentioning

confidence: 99%

Higher Ultrafiltration Rate Is Associated with Longer Dialysis Recovery Time in Patients Undergoing Conventional Hemodialysis

et al. 2017

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Background: Increased mortality and morbidity are reported in association with high ultrafiltration rate (UFR) and with long dialysis recovery time (DRT). We studied the association between UFR and DRT. Methods: This is a cross-sectional, observational study was conducted. Patients on thrice-weekly hemodialysis (HD) with self-reported DRT between August and December 2014 were included. We examined the association of 30-day average UFR with recovery time. Results: The total number of patients included in this study was 2,689. DRT in categories of immediate recovery, >0-≤2, >2-≤6, >6-≤12, and >12 h, were reported in 27, 28, 17, 9, and 20% of the patients respectively. In multivariable analysis, longer DRT was associated with female gender, non-black race, higher body weight, lower serum albumin, chronic heart failure, cerebrovascular disease, missed dialysis sessions, higher pre-dialysis systolic blood pressure, and larger UF volume. Compared to UFR of <10, UFR ≥13 mL/kg/h was associated with longer DRT, OR of 1.16 (95% CI 0.99-1.36), and 1.28 (95% CI 1.06-1.54) in the unadjusted and the adjusted analyses respectively. Intradialytic hypotension was also associated with longer DRT in the unadjusted (per 10% higher frequency, OR 1.04 [95% CI 1.01-1.07]) and adjusted analyses (OR 1.03 [95% CI 1.00-1.07]). Conclusion: Long recovery time is common after HD. Rapid fluid removal is associated with longer DRT.

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“…Sobre o aparecimento dessa sintomatologia psiquiátrica, pesquisas revelaram que os níveis de depressão e sintomas psicológicos além de distúrbios de ansiedade são mais frequentes e mais intensos em mulheres portadoras de DRC e em tratamento hemodialítico 22,26 . As narrativas mostraram que as longas horas de sessões de hemodiálise, a cronicidade do tratamento somado à incerteza de uma cura, conferia a estas pacientes características como medo do futuro, valorização do presente, angústia e pouca perspectiva diante de projetos em longo prazo.…”

Section: Discussionunclassified

Hemodiálise E Seus Impactos Psicossociais Em Mulheres Em Idade Fértil

2017

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RESUMOObjetivou compreender os impactos psicossociais da hemodiálise na vivência de mulheres em idade fértil. É um estudo transversal descritivo com abordagem qualitativa e exploratória. Foram feitas entrevistas semiestruturadas com oito mulheres em idade fértil em tratamento de hemodiálise por um período mínimo de 24 meses em um hospital escola. As entrevistas foram analisadas na perspectiva da Teoria Fundamentada nos Dados. As categorias que emergiram da codificação dos discursos foram: enfrentamento e suporte social; mudanças na vida cotidiana; autoimagem e sexualidade; perspectivas futuras. Evidenciou-se que as principais estratégias de enfrentamento se referem ao suporte familiar e religioso. Dentre as mudanças cotidianas, destacaram-se a indisposição para as tarefas diárias, o comprometimento profissional e o prejuízo da participação na vida dos filhos. A forma como vivenciam sua sexualidade e autoimagem impacta diretamente em seu meio familiar e conjugal. As perspectivas de futuro das mulheres se vinculam principalmente à esperança de um transplante renal. Descritores HEMODIÁLISE E SEUS IMPACTOS PSICOSSOCIAIS EM MULHERES EM IDADE FÉRTIL HEMODIALYSIS AND ITS PSYCHOSOCIAL IMPACTS IN CHILDBEARING AGE WOMEN ABSTRACTAimed to understand the psychosocial impacts of hemodialysis in the experience of childbearing age women. This is a descriptive cross-sectional study with qualitative and exploratory approach. Were made eight semi-structured interviews with childbearing age women undergoing dialysis treatment for a minimum of 24 months in a teaching hospital. The interviews were analyzed from the perspective of Grounded Theory. The categories that emerged from the coding of the speeches were coping and social support; changes in everyday life; self-image and sexuality; future perspectives. It became clear that the main coping strategies are found in the family and religious support. Among the everyday changes, the highlights were the unwillingness for everyday tasks, professional commitment and less participation in the children lives. The way they experience their sexuality and self-image has a direct impact on your family and conjugal environment. Finally, the future prospects are linked to the hope of a kidney transplant.

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Women on hemodialysis have lower self-reported health-related quality of life scores but better survival than men

Abstract: Women on hemodialysis had more depression-related symptoms and poor self-reported HRQoL, but better survival than men. The sex difference in psychological and HRQoL issues deserves greater concern because this relates to clinical care and further study.

Cited by 18 publications

References 39 publications

Sexual Function and Correlates in Women Undergoing Maintenance Hemodialysis in Cameroon: A Multi-centric Study

Sexual Function and Correlates in Women Undergoing Maintenance Hemodialysis in Cameroon: A Multi-centric Study

Higher Ultrafiltration Rate Is Associated with Longer Dialysis Recovery Time in Patients Undergoing Conventional Hemodialysis

Hemodiálise E Seus Impactos Psicossociais Em Mulheres Em Idade Fértil

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