PMID: 8944973Sep 1, 1996Paper

Quantity of dialysis: quality of life--what is the relationship?

ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs
A R MortonT MacKenzie

Abstract

Health related quality of life (HRQOL) is increasingly being used to evaluate physical and psychosocial parameters in patients receiving dialysis. In patients with chronic illness, these indices are important adjuncts to biochemical measurements. Inadequate dialysis with low urea clearance (Kt/Vurea) has been linked to adverse outcomes in dialysis patients. Little is known about the relationship between dialysis adequacy and patient reported HRQOL. We evaluated HRQOL in 55 hemodialysis and 60 peritoneal dialysis patients using the RAND 36 Item Health Survey 1.0, measuring the following: physical functioning; role limitations (physical); role limitations (emotional); social functioning; emotional well being; pain; energy; and general health perceptions. Kt/V was also calculated for each patient. Mean HD Kt/V was 1.44 +/- 0.31 (range, 0.5-2.0); mean weekly PD Kt/V was 2.28 +/- 0.90 (range, 1.13-6.02). The relationship between Kt/V and HRQOL was tested using Pearson's correlation. No significant association was found for either treatment group between Kt/V and any of the domains of HRQOL. Thus, HRQOL seems to be influenced by factors other than dialysis adequacy, enhancing its role as an independent measure of patient problems oth...Continue Reading

Citations

May 29, 1999·Quality in Health Care : QHC·J P WightC B Brown
Sep 30, 2005·Hemodialysis International·Steven D SorokaPhilip Jacobs
Nov 20, 2002·AJR. American Journal of Roentgenology·Zhen W ZhuangMichael A Bettmann
May 12, 2009·International Urology and Nephrology·Baris AfsarNurhan F Ozdemir
Jun 28, 2005·Clinical and Experimental Nephrology·Yoshinori TajiTakashi Kuwahara
Oct 13, 2005·Hemodialysis International·Fatiu Arogundade, Rashad S Barsoum
Mar 23, 2006·Seminars in Dialysis·Ambreen GulEdwin M Trayner
Dec 19, 2013·Nephro-urology Monthly·Zohreh RostamiMojgan Jalalzadeh
Jun 28, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·S K MittalS Fishbane
Sep 26, 2002·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Braden J MannsCam Donaldson

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