Skip Navigation



NDT Advance Access published online on September 8, 2006
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfl392
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
21/11/3223    most recent
gfl392v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Valdés, C.
Right arrow Articles by Ortega, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Valdés, C.
Right arrow Articles by Ortega, F.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received January 10, 2006
Accepted May 31, 2006

Original Article

Mental health at the third month of haemodialysis as a predictor of short-term survival

Covadonga Valdés 1 *, Mónica García-Mendoza 1, Pablo Rebollo 2, Teresa Ortega 1, and Francisco Ortega 1

1 Nephrology Unit, Hospital Universitario Central de Asturias, Spain
2 BAP HEALTH OUTCOMES, Asturias, Spain

* To whom correspondence should be addressed.
Covadonga Valdés, E-mail: cvaldes{at}hca.es



  Abstract

Background. The aim of this study was to evaluate the survival of patients initiating haemodialysis (HD), and to analyse whether low health-related quality of life (HRQoL) levels are predictors of mortality in the short-term, controlling certain variables that had been shown in other studies to have a bearing on survival, and using scores, standardized for age and sex, of the HRQoL measurement tool employed.

Methods. This is a multicentric prospective study of all patients on HD in all the dialysis units in Asturias, a region with a little over one million inhabitants, from 1 January 2001 to 30 September 2002. A total of 199 patients initiated HD in our region and survived the first 3 months. Of these, 137 patients who remained on HD for at least 3 months had complete responses on HRQoL measures.

Results. It was observed that adjusted relative risk (RR) of death increased by 5% for each year of age increase (RR = 1.05, 95% CI 1.01-1.09: P = 0.006); in the same way, for each increase in the Mental Component Summary (MCS) score, the adjusted RR of death diminished by 4% (RR = 0.96, 95% CI 0.94-0.99; P = 0.006).

Conclusion. Mental health has been shown to be a factor independently associated with mortality; as the MCS score worsens the adjusted RR of death of a patient on HD increases.

Keywords: elderly; end-stage renal disease; health-related quality of life, mortality; survival.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Nephrol Dial TransplantHome page
R. Perez-Garcia, A. Martin-Malo, J. Fort, X. Cuevas, F. Llados, J. Lozano, F. Garcia, and on behalf of all Investigators from the ANSWER stu
Baseline characteristics of an incident haemodialysis population in Spain: results from ANSWER--a multicentre, prospective, observational cohort study
Nephrol. Dial. Transplant., February 1, 2009; 24(2): 578 - 588.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.