Nephrology Dialysis Transplantation, Vol 12, Issue 10 2111-2116, Copyright © 1997 by Oxford University Press
R Sesso and M Yoshihiro
Background: Time of diagnosis of chronic renal failure
and predialysis care may be important factors related to the quality of
life of patients on dialysis treatment. Methods: We
evaluated the quality of life of 113 haemodialysis patients who had a late
(⩽1 month before starting dialysis, (n=53) or early (⩾6
months, n=60) diagnosis of chronic renal failure. At the time of the survey
patients had been on dialysis for a median duration of 55 days (range
1-109). Quality of life was measured by the Kidney Disease Questionnaire
(KDQ), including five dimensions with scales ranging from 1.0 to 7.0
(1.0=more impairment); the health and life satisfaction indices (higher
score=more dissatisfied), functional status (Karnofsky scale), and the time
trade-off technique Results: Mean scores of quality of
life measures were worse in the late- than in the early-diagnosis group. A
significant difference (P <0.05) was observed in the
depression (4.46±1.45 vs
5.23±1.36), relationships with others
(3.95±1.31 vs 4.53±1.31) and
frustration (4.08±1.51 vs
5.21±1.34) dimensions of the KDQ, and in life satisfaction
(4.11±1.92 vs 3.32±1.57). Functional status declined
compared to 1 year before dialysis, particularly in the late diagnosis
group. Among the elderly patients, the magnitude of the difference was more
pronounced, (including in the physical symptoms item
of the KDQ). Conclusion: Our findings demonstrate that
late diagnosis of chronic renal failure and the consequent lack of
predialysis care adversely affect the quality of life of haemodialysis
patients. Early diagnosis and regular predialysis care should be encouraged
to improve the quality of life during dialysis treatment.
Keywords: quality of life; dialysis; referral; chronic
renal failure; predialysis management
ORIGINAL ARTICLES
Time diagnosis of chronic renal failure and assessment of quality of life in haemodialysis patients
Division of Nephrology, Department of Medicine, Clinical Epidemiology Unit, Escola Paulista de Medicina, Universidade Federal de Sao Paulo, Sao Paulo, Brazil; Corresponding author at: Escola Paulista de Medicina, Division of Nephrology, Rua Botucatu 740, Sao Paulo, SP, 04023-900, Brazil
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  W. M. McClellan, H. Wasse, A. C. McClellan, A. Kipp, L. A. Waller, and M. V. Rocco Treatment Center and Geographic Variability in Pre-ESRD Care Associate with Increased Mortality J. Am. Soc. Nephrol., May 1, 2009; 20(5): 1078 - 1085. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Ethier, D. C. Mendelssohn, S. J. Elder, T. Hasegawa, T. Akizawa, T. Akiba, B. J. Canaud, and R. L. Pisoni Vascular access use and outcomes: an international perspective from the dialysis outcomes and practice patterns study Nephrol. Dial. Transplant., October 1, 2008; 23(10): 3219 - 3226. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. M. Ward Laboratory Abnormalities at the Onset of Treatment of End-Stage Renal Disease: Are There Racial or Socioeconomic Disparities in Care? Arch Intern Med, May 28, 2007; 167(10): 1083 - 1091. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. C. Mendelssohn, J. Ethier, S. J. Elder, R. Saran, F. K. Port, and R. L. Pisoni Haemodialysis vascular access problems in Canada: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS II) Nephrol. Dial. Transplant., March 1, 2006; 21(3): 721 - 728. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C.-C. Lin, B.-O Lee, and F. D. Hicks The Phenomenology of Deciding About Hemodialysis Among Taiwanese West J Nurs Res, November 1, 2005; 27(7): 915 - 929. [Abstract] [PDF]
|
|
|
|
|
|
F. J. Caskey, S. Wordsworth, T. Ben, F. T. de Charro, C. Delcroix, V. Dobronravov, H. van Hamersvelt, I. Henderson, E. Kokolina, I. H. Khan, et al. Early referral and planned initiation of dialysis: what impact on quality of life? Nephrol. Dial. Transplant., July 1, 2003; 18(7): 1330 - 1338. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. A. de Wit, M. P. Merkus, R. T. Krediet, and F. Th. de Charro Health profiles and health preferences of dialysis patients Nephrol. Dial. Transplant., January 1, 2002; 17(1): 86 - 92. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P.A. Ellis and H.S. Cairns Renal impairment in elderly patients with hypertension and diabetes QJM, May 1, 2001; 94(5): 261 - 265. [Abstract] [Full Text] [PDF]
|
|