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2006, Number 3

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Arch Med Fam 2006; 8 (3)

Quality of Life in Patients with Hemodialysis, and Ambulatory and Automated Continuous Peritoneal Dialysis

Caballero-Morales S, Trujillo-García JU, Welsh-Orozco U, Hernández-Cruz ST, Martínez-Torres J

Language: Spanish
References: 20
Page: 163-168
PDF size: 76.75 Kb.


ABSTRACT

Objective: Our aim was to compare the quality of life (QOL) of patients with hemodialysis, continuous ambulatory peritoneal dialysis, and automated dialysis. Materials and Methods: We conducted a comparative transversal study between May and October, 2003. To the total of patients with chronic terminal kidney disease and with substitutive treatment (101 patients) managed with hemodialysis, continuous ambulatory peritoneal dialysis (CAPD), and automated peritoneal dialysis, we applied two instruments: one that registered sociodemographic variables (sex, age, civil status, schooling), and the second, the short form for registering quality of life (QOL) in renal disease: the KDQOL-SFTM, version 1.3, with 22 dimensions. We performed both uni- and bivariate analysis. Results: Ages ranged between 15 and 85 years (mean, 46 ± 16.5 years), 54% were males, 80% had completed secondary school or less, and 65% were married. A total of 50% had CAPD, and 48% had diabetes. Highest KDQOL-SFTM averages were social support, pain, and quality of social relationships, while lowest averages included work status, role of physical limitations, role of emotional limitations, and general health. On dividing patients by dialysis type, there were important diminution in instrument-dimension scoring in ambulatory peritoneal dialysis and hemodialysis, these differences statistically significant (p ‹ 0.05). Conclusions: QOL was better in patients with automated peritoneal dialysis, while patients on hemodialysis demonstrated the lowest KDQOL-SFTM averages.


REFERENCES

  1. Amato-Martínez JD, Paniagua-Sierra JR. Prevalencia de la insuficiencia renal crónica en la población derechohabiente del instituto mexicano del seguro social. Las Múltiples Facetas de la Investigación en Salud 1998; 1:153-170.

  2. Valderrabano F, Jofre R, López-Gómez J. Quality of life in end-stage renal disease patients. AJKD 2001; 38(3):443-64.

  3. Cardiel M. ¿Cómo se evalúa la calidad de vida? Medicina Interna de México 1998; 3(4):359-69.

  4. Carr Aj, Gibson B, Robinson GP. Is quality of life determined by expectations or experience? BMJ 2001; 322(12)1240:3.

  5. Rodríguez-Zamora MC, González-Celis R. Calidad de vida relacionada a la salud. Desarrollo científico de enfermería 2000; 8(6):168-70.

  6. Stewart LA, Teno J, Donald LP, Lynn J. The concept of quality of life of dying persons in the context of health care. Journal of Pain and Symptom Management 1999;17(2):93-108.

  7. Evans WR, et al. The quality of life of patients with end-stage renal disease. NEJM 1985; 312(9):553-8.

  8. Kinchen KS, Pewe NR. Measuring and managing health outcomes and quality of care in end-stage renal disease. Dis Manage Health Outcomes 2001;9(9):1483-93.

  9. Sneeuw KC, Sprangers MA, Aaronson NK. The role of health care providers and significant others in evaluating quality of life of patients with chronic disease. Journal of Clinical Epidemiology 2002;55: 1130-43.

  10. Cagney AK. Formal literature review of quality of life instruments used in end-stage renal disease. American Journal of Kidney Diseases 2000; 36(2):327-36.

  11. Pereira BJ. New perspectives in chronic renal insufficiency. AJKD 2000;36(6):1-3.

  12. Oldenburg B, Macdonald GJ, Perkins JR. Prediction of quality of life a cohort of end-stage renal disease patients. J Clin Epidemiol 1988; 41(6):555-64.

  13. Rettig AR, et al. Assessing health and quality of life outcomes in dialysis: a report on an Institute of Medicine Workshop. AJKD 1997; 30(1):140-55.

  14. Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter BW. Development of the kidney disease quality of life short form (KDQOL) instrument. Quality of life Research 1994;3: 329-38.

  15. Rosas SE. Association of decreased quality of life and erectile dysfunction in hemodialysis patients. Kidney International 2003; 64: 232-8.

  16. Bakewell BA, Higgins MR, Edmunds EM. Does ethnicity influence perceived quality of life of patients on dialysis and following renal transplant? Nephrology Dialysis Transplantation 2001;16(7):1395-401.

  17. Bakewell BA, Higgins MR, Edmunds EM. Quality of life in peritoneal dialysis patients: decline over time and association with clinical outcomes. Kidney International 2002;61:239-48.

  18. Rao S, Carter WB, Mapes DL, Kallich JD, Kamberg CJ, Spritzer KL, Hays R. Development of subscales from the symptoms/problems and effects of kidney disease scales of the kidney disease quality of life instrument. Clinical therapeutics 2000; 22 (9):1099-111.

  19. Mapes DL, Lopes AA, Satayathum S, Mccullough K, Goodkin A, Locatelli F. et. al. Health-related quality of life as a predictor of mortality and hospitalization: the dialysis outcomes and practice patterns study. Kidney International 2003; 64:339-49.

  20. Colin RM, Thompson DR. Does dialysis adequacy impact on the quality of life of end-stage renal disease patients?. Clinical Effectiveness in Nursing 2001; 5:57-65.




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