Martínez GF, Roy GIA, Torres RJL

Language: Spanish
References: 20
Page: 22-26
PDF size: 138.60 Kb.

ABSTRACT

Objective: to assess the quality of life (QoL) score according to the type of renal replacement therapy (RRT) in patients with end-stage renal disease (ESRD). Methods: cross-sectional, analytical study. Patients with esrd, on peritoneal dialysis (PD) or hemodialysis (HD), older than 18 years, without disease exacerbation, assigned to the Regional General Hospital No. 1 of Mexico City, were included. The study was carried out from December 2018 to March 2019. QoL was measured with the EQ-5D index and the visual analogue scale to obtain a health self-assessment index; clinical and sociodemographic variables were obtained from the medical record and through interrogation. Results: a total of 406 participants, 203 patients on hemodialysis and 203 on PD, were included. A mean EQ-5D index score of 0.46 ± 0.18 was found for PD versus 0.29 ± 0.22 for HD (p ‹ 0.001). The self-assessment index showed no difference between both groups. The quality of life indicators that were most affected in patients treated with HD were pain and anxiety or depression. Conclusion: in patients with end-stage renal disease, HD is associated with lower quality of life.

REFERENCES

1. Aldrete VJA, Chiquete E, Rodríguez GJA, Rincón PR, Correa RR, García PR, et al. Mortalidad por enfermedad renal crónica y su relación con la diabetes en México. Medicina interna de México, 2018;34(4):536-550. DOI: 10.24245/mim. v34i4.1877

2. Torres TM, Granados GV, López OLR. Global burden of disease of chronic kidney disease in Mexico. Rev Med Inst Mex Seguro Soc, 2017;55(2):118-23.

3. Webster AC, Nagler EV, Morton RL, Masson P. Chronic Kidney Disease. The Lancet, 2017;389(10075):1238-1252. DOI: 10.1016/ S0140-6736(16)32064-5

4. Clinical Practice Guideline for the Evaluation and Managment of Chronic Kidney Disease. KDIGO 2012 Kidney International Supplements 2013; 3: 5-14. DOI:10.1038/kisup.2012.77

5. CENETEC. Guía de práctica clínica: prevención, diagnóstico y tratamiento de la enfermedad renal crónica temprana, México; Secretaria de Salud 2009. [Internet]. [Citado 2019 Sept 28]. Disponible en: http//www.cenetec.salud.gob.mx/interior/ gpc.html

6. Zazzeroni L, Pasquinelli G, Nanni E, Cremonini V, Rubbi I. Comparison of Quality of Life in Patients Undergoing Hemodialysis and Peritoneal Dialysis: a Systematic Review and Meta-Analysis. Kidney Blood Press Res, 2017;42(4):717-727. DOI: 10.1159/000484115.

7. Bakewell AB, Higgins RM, Edmunds ME. Does ethnicity influence perceived quality of life of patients on dialysis and following renal transplant? Nephrol Dial Transplant, 2001;16:1395-1401. DOI: 10.1093/ndt/16.7.1395

8. Wright LS, Wilson L. Quality of Life and Self- Efficacy in Three Dialysis Modalities: Incenter Hemodialysis, Home Hemodialysis, and Home Peritoneal Dialysis. Nephrol Nurs J, 2015;42: 463-476.

9. Homaie RE, Mostafavi H, Delavari S, Mostafavi S. Health-related Quality of Life in Patients on Hemodialysis and Peritoneal Dialysis: a Meta- Analysis of Iranian Studies. Iran J Kidney Dis, 2015;9(5):386-93.

10. Euroqol. eq-5D-3L user guide basic information on how to use the eq-5D-3L instrument. [Internet]. [Citado 2018 Abr 17]. Disponible en: https:// euroqol.org/wp-content/uploads/2016/09/eq- 5D-3L_UserGuide_2015.pdf

11. Günalay S, Öztürk YK, Akar H, Mergen H. The relationship between malnutrition and quality of life in haemodialysis and peritoneal dialysis patients. Rev Assoc Med Bras. 2018;64(9):845-852. DOI: 10.1590/ 1806-9282.64.09.845

12. Capote LE, Casamayor LZ, Castañer MJ. Calidad de vida y depresión en el adulto mayor con tratamiento sustitutivo de la función renal. Revista Cubana de Medicina Militar, 2012;41(3):237-247.

13. Hernández J, Castañeda A, Burciaga C, Garvalena M. Calidad de vida en pacientes con tratamiento sustitutivo renal: diálisis peritoneal continua ambulatoria y hemodiálisis. Rev Iberoam Educación Investigación Enfermería. 2014;4(1): 67-74.

14. Carmen M, Perales M, Stefan D, Gustavo A, Reyes P. Calidad de vida relacionada con la salud en la enfermedad renal crónica: relevancia predictiva del estado de ánimo y la sintomatología somática. Nefrologia 2016; 36 (3):275–282. DOI: 10.1016/j.nefro.2015.12.002

15. Alvares J, Almeida AM, Szuster DAC, Gomes ic, Andrade EIG, Acurcio FDA, et al. Factors associated with quality of life in patients in renal replacement therapy in brazil. Cien Saude Colet, 2013;18(7):1903-1910. DOI: 10.1590/S1413- 81232013000700005

16. Eriksson D, Goldsmith D, Teitsson S, Jackson J, Van NF. Cross-sectional survey in CKD patients across Europe describing the association between quality of life and anaemia. BMC Nephrology 2016; 17: 97. DOI: 10.1186/s12882-016-0312-9

17. Lukowsky LR, Mehrotra R, Kheifets L, Arah OA, Nissenson AR, Kalantar ZK. Comparing mortality of peritoneal and hemodialysis patients in the first 2 years of dialysis therapy: a marginal structural model analysis. Clin J Am Soc Nephrol 2013; 8(4): 619-628. DOI: 10.2215/CJN.04810512

18. Orozco GAM, Castiblanco OL. Factores psicosociales e intervención psicológica en enfermedades crónicas no transmisibles. Revista Colombiana de Psicología 2015; 24 (1): 203-217. DOI: 10.15446/rcp.v24n1.42949

19. James RR, Didier AM, Martha P. A psychological intervention to improve quality of life and reduce psychological distress in adults awaiting kidney transplantation. Nephrology Dialysis Transplantation 2011; 26(2): 709–715. DOI: 10.1093/ndt/ gfq382

20. Kwok YC, Terence Y, Desmond YH, Mau KS, Yim CW, Vikki WKL, et al. Enhanced psychosocial support for caregiver burden for patients with chronic kidney failure choosing not to be treated by dialysis or transplantation: a pilot randomized controlled trial. Am J Kidney Dis 2016; 67 (4): 585-592. DOI: 10.1053/j.ajkd.2015.09.021