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NDT Advance Access first published online on September 15, 2008
This version published online on September 19, 2008
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfn506
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Factors affecting the quality of life of haemodialysis patients from Romania: a multicentric study

Anca Seica1, Liviu Segall1, Constantin Verzan2, Nina Vaduva2, Maria Madincea3, Simona Rusoiu4, Sorina Cristea5, Maria Stefan6, Daniela Serbanescu7, Petronela Morosanu8, Luminita Grajdeanu9, Roxana Andronache10, Maria Nechita11, Dorina Dragos12, Anca Dronca13, Paul Gusbeth-Tatomir1, Gabriel Mircescu2 and Adrian Covic1

1 Nephrocare Dialysis Center, Iasi 2 Nephrocare Dialysis Center Carol Davila, Bucuresti 3 Timisoara Dialysis Center 4 Craiova Dialysis Center 5 Floreasca Bucuresti Dialysis Center 6 Tîrgu-Mures Dialysis Center 7 Nephrocare Dialysis Center, Constanta 8 Piatra Neamt Dialysis Center 9 Focsani Dialysis Center 10 Petrosani Dialysis Center 11 Baia-Mare Dialysis Center 12 N.C. Paulescu Institute Dialysis Center, Bucuresti, Romania 13 Deva Dialysis Center

Correspondence and offprint requests to: Anca Seica, Nephrocare Dialysis Center, University Hospital, ‘C.I. Parhon’, 50 Carol 1st Blvd, 700503 Iasi, Romania. Tel: +40-727-889089; Fax: +40-232-211752; E-mail: ancagusbeth{at}yahoo.com



  Abstract

Background. The quality of life (QoL) is an important predictor of outcome in end-stage renal disease (ESRD) patients. Therefore, QoL needs to be regularly assessed in this setting. Our study describes QoL, as well as demographic and clinical variables associated with QoL in chronic haemodialysis (HD) patients in Romania.

Methods. All prevalent chronic HD patients (N = 709; mean age 51.7 ± 12.6 years) in 12 dialysis centres from the three main regions of Romania were included in the study. Six hundred and six of these completed the Short-Form Health Survey (SF-36) and the Kidney Disease Quality of Life Questionnaire—Short Form (KDQOL-SF).

Results. The mean physical component summary (PCS) score was 46.3 ± 19.2, and the mean mental component summary (MCS) score was 55.1 ± 19.3. These figures were lower than those previously described in non-dialysis age-matched Romanian individuals. The mean kidney disease summary component (KDSC) score was 68.3 ± 11.3, similar to other studies. The worst dimension of QoL was work, whereas the best ones were cognitive function and quality of social interaction. We found older age, female gender, lower socio-economic status and higher educational level to be associated with lower QoL scores.

Conclusions. The QoL of HD patients in Romania is lower than that in the general population. Our results suggest that at least one-third of these patients might be considered for rehabilitation therapy, in order to try and prevent complications and mortality.

Keywords: end-stage renal disease; haemodialysis; quality of life

The original version was incorrect. A change to the author listing has been made.

Received for publication: 12. 6.08
Accepted in revised form: 18. 8.08


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