Functional dependence and the mental dimension of quality of life in Hemodialysis patients: the PROHEMO study

Health and Quality of Life Outcomes
Gabriel Brayan Gutiérrez-PeredoAntonio A Lopes

Abstract

Functional dependence is highly prevalent in maintenance hemodialysis (MHD) settings. Also, poor health-related quality of life (HRQoL) and high levels of depressive symptoms have been reported by MHD patients. We investigated associations between functional status and mental aspects of quality of life in Brazilian MHD patients. Cross sectional study of 235 patients enrolled in two of the four participating MHD clinics of the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO) in Salvador, BA, Brazil. Data were collected from September 2016 to August 2017. The Katz's questionnaire was used for basic activities of daily living (ADL) and the Lawton-Brody's questionnaire for instrumental activities of daily living (IADL). ADL and IADL scores were combined to create 3 functional status groups: highly dependent (n = 47), moderately dependent (n = 109) and independent (n = 82). The validated Brazilian version of the Kidney Disease Quality of Life Short Form (KDQOL-SF) was used for scores of two distinct HRQoL measures, i.e., the mental component summary (MCS) and the 5-item mental health inventory (MHI-5). We used linear regression to estimate differences in scores with adjustment for possible confounders: m...Continue Reading

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Citations

Nov 21, 2020·Expert Review of Pharmacoeconomics & Outcomes Research·Hani HussienAdrian Covic
Jun 15, 2021·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Glivia Renata Silva NovaesStenio Cerqueira de Ataide

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